健康成年女性复发性尿路感染的管理
Management of recurrent urinary tract infections in healthy adult women.
作者信息
Hickling Duane R, Nitti Victor W
机构信息
Department of Urology, New York University Langone Medical Center, New York, NY.
出版信息
Rev Urol. 2013;15(2):41-8.
Abstract
Recurrence after urinary tract infection (rUTI) is common in adult women. The majority of recurrences are believed to be reinfection from extraurinary sources such as the rectum or vagina. However, uropathogenic Escherichia coli are now known to invade urothelial cells and form quiescent intracellular bacterial reservoirs. Management of women with frequent symptomatic rUTI can be particularly vexing for both patients and their treating physicians. This review addresses available and promising management strategies for rUTI in healthy adult women.
摘要
成年女性中，尿路感染复发（rUTI）很常见。大多数复发被认为是来自尿道外来源（如直肠或阴道）的再感染。然而，现在已知尿路致病性大肠杆菌会侵入尿路上皮细胞并形成静止的细胞内细菌库。对于频繁出现症状性rUTI的女性患者及其治疗医生来说，其管理可能特别棘手。本综述探讨了健康成年女性rUTI的现有及有前景的管理策略。
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