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女性复发性尿路感染的预防

Prevention of recurrent urinary tract infections in women.

出版信息

Drug Ther Bull. 2013 Jun;51(6):69-72. doi: 10.1136/dtb.2013.6.0187.

DOI:10.1136/dtb.2013.6.0187
PMID:23766394
Abstract

Around 40-50% of women experience at least one urinary tract infection (UTI) during their lifetime and 20-30% of these have a recurrence within 3-4 months of the initial infection.¹ Recurrent UTI (usually defined as three episodes in the last 12 months or two episodes in the last 6 months) can have a considerable impact on a woman's quality of life. Each episode of acute UTI in young women is typically associated with about 6 days of symptoms, 2.4 days of restricted activities and 0.4 days of bed rest.¹ Antibacterial prophylaxis is effective in preventing recurrent episodes, but at the expense of unwanted effects and a risk of promoting bacterial resistance. Here we assess the efficacy of different antibacterial regimens and non-antibacterial alternatives (cranberry, probiotics, oestrogens, immunostimulation, hyaluronic acid and chondroitin, acupuncture and herbs) in the prevention of recurrent uncomplicated UTIs in women.

摘要

约40%-50%的女性在其一生中至少经历过一次尿路感染(UTI),其中20%-30%的患者在初次感染后的3-4个月内会复发。¹复发性尿路感染(通常定义为过去12个月内发作三次或过去6个月内发作两次)会对女性的生活质量产生相当大的影响。年轻女性的每一次急性尿路感染发作通常伴有约6天的症状、2.4天的活动受限和0.4天的卧床休息。¹抗菌预防在预防复发方面有效,但会带来不良影响并存在促进细菌耐药性的风险。在此,我们评估了不同抗菌方案和非抗菌替代方法(蔓越莓、益生菌、雌激素、免疫刺激、透明质酸和软骨素、针灸和草药)在预防女性复发性单纯性尿路感染中的疗效。

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1
Prevention of recurrent urinary tract infections in women.女性复发性尿路感染的预防
Drug Ther Bull. 2013 Jun;51(6):69-72. doi: 10.1136/dtb.2013.6.0187.
2
Preventing urinary tract infections after menopause without antibiotics.绝经后不使用抗生素预防尿路感染
Maturitas. 2017 May;99:43-46. doi: 10.1016/j.maturitas.2017.02.004. Epub 2017 Feb 7.
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Cranberries vs antibiotics to prevent urinary tract infections: a randomized double-blind noninferiority trial in premenopausal women.蔓越莓与抗生素预防尿路感染:一项针对绝经前女性的随机双盲非劣效性试验。
Arch Intern Med. 2011 Jul 25;171(14):1270-8. doi: 10.1001/archinternmed.2011.306.
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Recurrent urinary tract infections among women: comparative effectiveness of 5 prevention and management strategies using a Markov chain Monte Carlo model.女性复发性尿路感染:使用马尔可夫链蒙特卡罗模型比较 5 种预防和管理策略的有效性。
Clin Infect Dis. 2014 Jan;58(2):147-60. doi: 10.1093/cid/cit646. Epub 2013 Sep 24.
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Antimicrobial prophylaxis in women with recurrent urinary tract infections.女性复发性尿路感染的抗菌预防。
Int J Antimicrob Agents. 2011 Dec;38 Suppl:36-41. doi: 10.1016/j.ijantimicag.2011.09.005. Epub 2011 Nov 4.
6
Prevention of recurrent urinary tract infections in women: antimicrobial and nonantimicrobial strategies.女性复发性尿路感染的预防:抗菌和非抗菌策略。
Infect Dis Clin North Am. 2014 Mar;28(1):135-47. doi: 10.1016/j.idc.2013.10.001. Epub 2013 Dec 7.
7
[Non-antibiotic prophylaxis for recurrent urinary-tract infections].复发性尿路感染的非抗生素预防措施
Ned Tijdschr Geneeskd. 2006 Mar 11;150(10):541-4.
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Bacterial characteristics of importance for recurrent urinary tract infections caused by Escherichia coli.大肠杆菌引起复发性尿路感染的重要细菌特征。
Dan Med Bull. 2011 Apr;58(4):B4187.
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Current clinical status on the preventive effects of cranberry consumption against urinary tract infections.蔓越莓消费预防尿路感染的临床现状。
Nutr Res. 2013 Aug;33(8):595-607. doi: 10.1016/j.nutres.2013.05.018. Epub 2013 Jul 1.
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Non-antibiotic interventions for prevention of urinary tract infections in children: a systematic review and meta-analysis of randomized controlled trials.非抗生素干预措施预防儿童尿路感染:系统评价和随机对照试验的荟萃分析。
Eur J Pediatr. 2021 Dec;180(12):3535-3545. doi: 10.1007/s00431-021-04091-2. Epub 2021 Jun 22.

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