• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

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.

DOI:10.1016/j.idc.2013.10.004
PMID:24484576
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4079031/
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。

相似文献

1
Diagnosis and management of urinary tract infection in older adults.老年人下尿路感染的诊断与治疗。
Infect Dis Clin North Am. 2014 Mar;28(1):75-89. doi: 10.1016/j.idc.2013.10.004. Epub 2013 Dec 8.
2
Bacteruria and Urinary Tract Infections in the Elderly.老年人的菌尿症和尿路感染
Urol Clin North Am. 2015 Nov;42(4):561-8. doi: 10.1016/j.ucl.2015.07.002. Epub 2015 Aug 19.
3
Similar Neutrophil-Driven Inflammatory and Antibacterial Responses in Elderly Patients with Symptomatic and Asymptomatic Bacteriuria.有症状和无症状菌尿老年患者中类似的中性粒细胞驱动的炎症和抗菌反应
Infect Immun. 2015 Oct;83(10):4142-53. doi: 10.1128/IAI.00745-15. Epub 2015 Aug 3.
4
Asymptomatic bacteriuria is an independent predictor of urinary tract infections in an ambulatory cirrhotic population: a prospective evaluation.无症状菌尿是门诊肝硬化患者尿路感染的独立预测因素:一项前瞻性评估。
Liver Int. 2014 Jul;34(6):e39-44. doi: 10.1111/liv.12435. Epub 2014 Jan 7.
5
Management of Bacteriuria and Urinary Tract Infections in the Older Adult.老年人菌尿症和尿路感染的管理。
Urol Clin North Am. 2024 Nov;51(4):585-594. doi: 10.1016/j.ucl.2024.07.002. Epub 2024 Aug 7.
6
Approach to a positive urine culture in a patient without urinary symptoms.无症状患者尿液培养阳性的处理方法。
Infect Dis Clin North Am. 2014 Mar;28(1):15-31. doi: 10.1016/j.idc.2013.09.005. Epub 2013 Dec 8.
7
Asymptomatic bacteriuria and urinary tract infection in pregnant women with and without diabetes: Cohort study.糖尿病及非糖尿病孕妇的无症状菌尿和尿路感染:队列研究
Eur J Obstet Gynecol Reprod Biol. 2018 Mar;222:176-181. doi: 10.1016/j.ejogrb.2017.12.013. Epub 2017 Dec 7.
8
Urinary tract infections in older women: a clinical review.老年女性下尿路感染:临床综述。
JAMA. 2014 Feb 26;311(8):844-54. doi: 10.1001/jama.2014.303.
9
Urinary Tract Infection and Asymptomatic Bacteriuria in Older Adults.老年人的尿路感染和无症状菌尿症。
Infect Dis Clin North Am. 2017 Dec;31(4):673-688. doi: 10.1016/j.idc.2017.07.002.
10
Advances in the Treatment of Urinary Tract Infection and Bacteriuria in Pregnancy.妊娠期尿路感染和菌尿症的治疗进展。
Urol Clin North Am. 2024 Nov;51(4):571-583. doi: 10.1016/j.ucl.2024.07.001. Epub 2024 Aug 17.

引用本文的文献

1
Prevalence, Diagnostic Accuracy, and Antimicrobial Resistance Patterns of Uropathogens in Urinary Tract Infections at a Health Facility in Kumasi, Ghana.加纳库马西一家医疗机构尿路感染中尿路病原体的患病率、诊断准确性及抗菌药物耐药模式
Microbiologyopen. 2025 Oct;14(5):e70028. doi: 10.1002/mbo3.70028.
2
The urinary microbiome distinguishes symptomatic urinary tract infection from asymptomatic older adult patients presenting to the emergency department.尿微生物群可区分有症状的尿路感染与到急诊科就诊的无症状老年患者。
Virulence. 2025 Dec;16(1):2546063. doi: 10.1080/21505594.2025.2546063. Epub 2025 Aug 13.
3
Validation of urinary biomarkers for accurate diagnosis of urinary tract infections in older adults across primary care, hospitals and long-term care facilities in the Netherlands and UK (UTI-GOLD): a multicentre observational study protocol.

本文引用的文献

1
Women with symptoms of uncomplicated urinary tract infection are often willing to delay antibiotic treatment: a prospective cohort study.有单纯性尿路感染症状的女性往往愿意延迟抗生素治疗:一项前瞻性队列研究。
BMC Fam Pract. 2013 May 31;14:71. doi: 10.1186/1471-2296-14-71.
2
Lack of positive association between falls and bacteriuria plus pyuria in older nursing home residents.老年疗养院居民中跌倒与菌尿症加脓尿症之间缺乏正相关关系。
J Am Geriatr Soc. 2013 Apr;61(4):653-4. doi: 10.1111/jgs.12177.
3
Does adherence to the Loeb minimum criteria reduce antibiotic prescribing rates in nursing homes?
荷兰和英国初级保健机构、医院及长期护理机构中老年人尿路感染准确诊断的尿液生物标志物验证(UTI-GOLD):一项多中心观察性研究方案
BMJ Open. 2025 Jun 18;15(6):e103311. doi: 10.1136/bmjopen-2025-103311.
4
Water intake, hydration, and weight management: the glass is half-full!水的摄入、水合作用与体重管理:前景乐观!
Physiol Behav. 2025 Aug 1;297:114953. doi: 10.1016/j.physbeh.2025.114953. Epub 2025 May 13.
5
Analysis of the Distribution Characteristics and Changes of Drug Resistance of Pathogens in Patients with Urinary Tract Infection Across Southwest China From 2019 to 2023.2019至2023年中国西南地区尿路感染患者病原菌耐药性分布特征及变化分析
Infect Drug Resist. 2025 Mar 17;18:1491-1502. doi: 10.2147/IDR.S512409. eCollection 2025.
6
Association of Posttransplant Circulating 25-Hydroxyvitamin D and Late-Onset Infections Among Kidney Transplant Recipients: The Wisconsin Allograft Recipient Database (WisARD).肾移植受者移植后循环25-羟维生素D与迟发性感染的关联:威斯康星同种异体移植受者数据库(WisARD)
Transpl Infect Dis. 2025 Mar-Apr;27(2):e70016. doi: 10.1111/tid.70016. Epub 2025 Mar 3.
7
A shared approach to managing urinary tract infections in nursing homes improved perceived care quality, workload, and collaboration - a qualitative study.一种管理养老院尿路感染的共享方法提高了感知到的护理质量、工作量和协作——一项定性研究。
Scand J Prim Health Care. 2025 Jun;43(2):500-509. doi: 10.1080/02813432.2025.2463455. Epub 2025 Feb 11.
8
Epidemiological trends and predictions of urinary tract infections in the global burden of disease study 2021.2021年全球疾病负担研究中尿路感染的流行病学趋势及预测
Sci Rep. 2025 Feb 8;15(1):4702. doi: 10.1038/s41598-025-89240-5.
9
Antibiotic Overprescription for "Urinary Tract Infections" Is Associated With Poor Diagnostic Stewardship and Low Adherence to Guidelines.“尿路感染”的抗生素过度处方与诊断管理不善及对指南的低依从性有关。
Neurourol Urodyn. 2025 Feb;44(2):382-389. doi: 10.1002/nau.25598. Epub 2024 Dec 4.
10
Risk factors for septic shock in older patients with urinary tract infection.老年尿路感染患者发生感染性休克的危险因素。
Clin Exp Nephrol. 2025 Mar;29(3):368-375. doi: 10.1007/s10157-024-02563-x. Epub 2024 Nov 25.
遵守 Loeb 最低标准是否能降低养老院的抗生素处方率?
J Am Med Dir Assoc. 2013 Apr;14(4):309.e1-7. doi: 10.1016/j.jamda.2013.01.002. Epub 2013 Feb 12.
4
Nitrofurantoin contraindication in patients with a creatinine clearance below 60 mL/min: looking for the evidence.肌酐清除率低于 60 mL/min 的患者禁用呋喃妥因:寻找证据。
Ann Pharmacother. 2013 Jan;47(1):106-11. doi: 10.1345/aph.1R352. Epub 2013 Jan 22.
5
Challenges in assessing nursing home residents with advanced dementia for suspected urinary tract infections.评估患有晚期痴呆症的养老院居民疑似尿路感染的挑战。
J Am Geriatr Soc. 2013 Jan;61(1):62-6. doi: 10.1111/jgs.12070.
6
Urinary tract infection in male veterans: treatment patterns and outcomes.男性退伍军人的尿路感染:治疗模式和结果。
JAMA Intern Med. 2013 Jan 14;173(1):62-8. doi: 10.1001/2013.jamainternmed.829.
7
Cranberries for preventing urinary tract infections.蔓越莓预防尿路感染。
Cochrane Database Syst Rev. 2012 Oct 17;10(10):CD001321. doi: 10.1002/14651858.CD001321.pub5.
8
Epidemiological and clinical aspects of urinary tract infection in community-dwelling elderly women.社区居住老年女性下尿路感染的流行病学和临床特点。
Braz J Infect Dis. 2012 Sep-Oct;16(5):436-41. doi: 10.1016/j.bjid.2012.06.025. Epub 2012 Sep 10.
9
Surveillance definitions of infections in long-term care facilities: revisiting the McGeer criteria.长期护理机构感染的监测定义:重新审视 McGeer 标准。
Infect Control Hosp Epidemiol. 2012 Oct;33(10):965-77. doi: 10.1086/667743.
10
Incidence of antibiotic-resistant Escherichia coli bacteriuria according to age and location of onset: a population-based study from Olmsted County, Minnesota.根据发病年龄和部位的不同,耐抗生素大肠埃希菌菌尿症的发生率:明尼苏达州奥姆斯特德县的一项基于人群的研究。
Mayo Clin Proc. 2012 Aug;87(8):753-9. doi: 10.1016/j.mayocp.2012.02.025. Epub 2012 Jul 13.