膀胱排空不全患者的复发性尿路感染：膀胱内治疗是否有作用？
Recurrent urinary tract infections in patients with incomplete bladder emptying: is there a role for intravesical therapy?
作者信息
Dray Elizabeth V, Clemens J Quentin
机构信息
Department of Urology, University of Michigan Health Science Center, Ann Arbor, Michigan, USA.
出版信息
Transl Androl Urol. 2017 Jul;6(Suppl 2):S163-S170. doi: 10.21037/tau.2017.04.08.
Abstract
The goal of this review article is to discuss the etiology of recurrent urinary tract infections (UTIs) in individuals with impaired bladder emptying, evaluate existing studies regarding UTI prevention strategies in this population, and explore the published experiences with intravesical therapy for the prevention and treatment of recurrent UTIs in patients performing clean intermittent catheterization (CIC). We will also describe the intravesical antibiotic protocol utilized at our institution.
摘要
这篇综述文章的目的是讨论膀胱排空功能受损个体复发性尿路感染（UTIs）的病因，评估关于该人群尿路感染预防策略的现有研究，并探讨在进行清洁间歇性导尿（CIC）的患者中，膀胱内治疗预防和治疗复发性UTIs的已发表经验。我们还将描述我们机构所采用的膀胱内抗生素方案。
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本文引用的文献
1
Intermittent catheterisation for long-term bladder management (abridged cochrane review).
Neurourol Urodyn. 2015 Sep;34(7):648-53. doi: 10.1002/nau.22792. Epub 2015 Jun 5.
2
Linezolid bladder irrigation as adjunctive treatment for a vancomycin-resistant Enterococcus faecium catheter-associated urinary tract infection.
Ann Pharmacother. 2015 Feb;49(2):250-3. doi: 10.1177/1060028014563066. Epub 2014 Dec 16.
3
Intravesical treatment with highly-concentrated hyaluronic acid and chondroitin sulphate in patients with recurrent urinary tract infections: Results from a multicentre survey.
Can Urol Assoc J. 2014 Sep;8(9-10):E721-7. doi: 10.5489/cuaj.1989.
4
Factors implicated in pathogenesis of urinary tract infections in neurogenic bladders: some revered, few forgotten, others ignored.
Neurourol Urodyn. 2014 Jan;33(1):95-100. doi: 10.1002/nau.22378. Epub 2013 Mar 4.
5
Cranberries for preventing urinary tract infections.
Cochrane Database Syst Rev. 2012 Oct 17;10(10):CD001321. doi: 10.1002/14651858.CD001321.pub5.
6
Clean intermittent catheterization and urinary tract infection: review and guide for future research.
BJU Int. 2012 Dec;110(11 Pt C):E910-7. doi: 10.1111/j.1464-410X.2012.11549.x. Epub 2012 Oct 4.
7
The Relation between Postvoid Residual and Occurrence of Urinary Tract Infection after Stroke in Rehabilitation Unit.
Ann Rehabil Med. 2012 Apr;36(2):248-53. doi: 10.5535/arm.2012.36.2.248. Epub 2012 Apr 30.
8
Guidelines for the diagnosis and management of recurrent urinary tract infection in women.
Can Urol Assoc J. 2011 Oct;5(5):316-22. doi: 10.5489/cuaj.11214.
9
Multicenter randomized controlled trial of bacterial interference for prevention of urinary tract infection in patients with neurogenic bladder.
Urology. 2011 Aug;78(2):341-6. doi: 10.1016/j.urology.2011.03.062. Epub 2011 Jun 17.
10
Epidemiology and healthcare utilization of neurogenic bladder patients in a US claims database.
Neurourol Urodyn. 2011 Mar;30(3):395-401. doi: 10.1002/nau.21003. Epub 2010 Sep 29.
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