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老年人下尿路感染的诊断与治疗。

Diagnosis and management of urinary tract infection in older adults.

机构信息

Yale University School of Medicine, 300 Cedar Street, New Haven, CT 06520-8002, USA.

Section of Infectious Diseases, Department of Internal Medicine, Yale University School of Medicine, 300 Cedar Street, New Haven, CT 06520-8022, USA.

出版信息

Infect Dis Clin North Am. 2014 Mar;28(1):75-89. doi: 10.1016/j.idc.2013.10.004. Epub 2013 Dec 8.

Abstract

Urinary tract infection (UTI) is a commonly diagnosed infection in older adults. Despite consensus guidelines developed to assist providers in diagnosing UTI, distinguishing symptomatic UTI from asymptomatic bacteriuria (ASB) in older adults is problematic, as many older adults do not present with localized genitourinary symptoms. This article summarizes the recent literature and guidelines on the diagnosis and management of UTI and ASB in older adults.

摘要

尿路感染(UTI)是老年人中常见的诊断性感染。尽管已经制定了共识指南来帮助医生诊断 UTI,但在老年人中区分有症状的 UTI 和无症状菌尿(ASB)仍然存在问题,因为许多老年人没有出现局部泌尿生殖系统症状。本文总结了关于老年人 UTI 和 ASB 的诊断和管理的最新文献和指南。

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