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尿路感染、活性成分、美国武装部队,2000 - 2013年

Urinary tract infections, active component, U.S. Armed Forces, 2000-2013.

出版信息

MSMR. 2014 Feb;21(2):7-11; comment, 11-12.

Abstract

Urinary tract infections (UTIs) are common among young adults, especially women. During the 14-year surveillance period, 30.4 percent of females and 3.5 percent of males who served in the active component had a least one UTI diagnosed during a medical encounter. The incidence rate of first-time UTIs was 70.4 per 1,000 person-years (p-yrs) among females and 7.2 per 1,000 p-yrs among males. Among those who received a diagnosis of UTI, 41.3 percent of females and 13.0 percent of males had recurrences. Rates of UTIs were highest among the youngest age group among females and the youngest and oldest age groups among males. Service members in armor/motor transport occupations in both genders had the greatest incidence rates of UTI compared to other occupations while pilots and air crew had the lowest incidence rates. The rates of UTIs overall were 130.9 per 1,000 p-yrs among females and 8.5 per 1,000 p-yrs among males. The occurrence of a first-ever urinary tract infection may be an opportunity for a healthcare provider to educate the patient about the risk factors for UTI, strategies to prevent recurrent infection, and the appropriate response to the new onset of typical symptoms of UTI.

摘要

尿路感染(UTIs)在年轻人中很常见,尤其是女性。在14年的监测期内,现役部队中的女性有30.4%、男性有3.5%在就医时至少被诊断出患有一次尿路感染。女性首次尿路感染的发病率为每1000人年70.4例,男性为每1000人年7.2例。在被诊断为尿路感染的患者中,女性有41.3%、男性有13.0%复发。女性中最年轻年龄组以及男性中最年轻和最年长年龄组的尿路感染发生率最高。与其他职业相比,从事装甲/汽车运输职业的男女军人尿路感染发生率最高,而飞行员和空勤人员发生率最低。总体而言,女性尿路感染发生率为每1000人年130.9例,男性为每10,000人年8.5例。首次发生尿路感染可能为医疗保健提供者提供一个机会,向患者传授尿路感染的危险因素、预防反复感染的策略以及对尿路感染典型症状新发情况的适当应对措施。

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