Vásquez V, Ampuero D, Padilla B
Belén Padilla, Servicio de Microbiología Clínica y Enfermedades Infecciosas, Hospital General Universitario Gregorio Marañón, Doctor Esquerdo 46, 28007 Madrid, Spain.
Rev Esp Quimioter. 2017 Sep;30 Suppl 1:39-41.
Urinary tract infection (UTI) is one of the major nosocomial infections. In more than 80% of cases it is related to the use of urological devices, especially linked to the misuse of urinary catheters. Empirical treatment should be based on local epidemiology, severity criteria and risk of multiresistant bacteria. This review shows the most important aspects of nosocomial UTI, as well as the recommendations for correct treatment adjustment; both empirical and definitive, that is the great challenge to avoid multiresistance, as well as to avoid unnecessary treatments.
尿路感染（UTI）是主要的医院感染之一。在超过80%的病例中，它与泌尿系统器械的使用有关，尤其与导尿管的不当使用有关。经验性治疗应基于当地的流行病学、严重程度标准以及多重耐药菌的风险。本综述展示了医院获得性尿路感染最重要的方面，以及正确调整治疗的建议；包括经验性和确定性治疗，这是避免多重耐药以及避免不必要治疗的巨大挑战。
