Department of Internal Medicine, Health Sciences Centre, University of Manitoba, Room GG443, 820 Sherbrook Street, Winnipeg, Manitoba R3A 1R9, Canada.
Crit Care Clin. 2013 Jul;29(3):699-715. doi: 10.1016/j.ccc.2013.03.014.
The urinary tract is a common source for life-threatening infections. Most patients with sepsis or septic shock from a urinary source have complicated urinary tract infection. This article explains the epidemiology, risk factors, and treatment. Effective management, appropriate collection of microbiology specimens, prompt initiation of antimicrobial therapy, source control, and supportive therapy are described.
尿路是危及生命的感染的常见来源。大多数因尿路来源导致败血症或感染性休克的患者都存在复杂的尿路感染。本文解释了其流行病学、危险因素和治疗方法。还描述了有效的管理、适当采集微生物标本、及时开始抗菌治疗、控制感染源以及支持治疗。