Epp Annette, Larochelle Annick
Saskatoon, SK.
St. Lambert, QC.
J Obstet Gynaecol Can. 2017 Oct;39(10):e422-e431. doi: 10.1016/j.jogc.2017.08.017.
To provide an update of the definition, epidemiology, clinical presentation, investigation, treatment, and prevention of recurrent urinary tract infections in women.
Continuous antibiotic prophylaxis, post-coital antibiotic prophylaxis, and acute self-treatment are all efficient alternatives to prevent recurrent urinary tract infection. Vaginal estrogen and cranberry juice can also be effective prophylaxis alternatives.
A search of PubMed and The Cochrane Library for articles published in English identified the most relevant literature. Results were restricted to systematic reviews, randomized control trials/controlled clinical trials, and observational studies. There were no date restrictions.
This update is the consensus of the Sub-Committee on Urogynaecology of the Society of Obstetricians and Gynaecologists of Canada. Recommendations were made according to the guidelines developed by the Canadian Task Force on Preventive Health Care (Table 1).
Recurrent urinary tract infections need careful investigation and can be efficiently treated and prevented. Different prophylaxis options can be selected according to each patient's characteristics.
提供关于女性复发性尿路感染的定义、流行病学、临床表现、检查、治疗及预防的最新信息。
持续抗生素预防、性交后抗生素预防及急性自我治疗均为预防复发性尿路感染的有效替代方法。阴道雌激素和蔓越莓汁也可为有效的预防替代方法。
检索PubMed和考克兰图书馆中以英文发表的文章，确定最相关的文献。结果限于系统评价、随机对照试验/对照临床试验及观察性研究。无日期限制。
本更新内容是加拿大妇产科医师协会泌尿妇科小组委员会的共识。根据加拿大预防性医疗保健特别工作组制定的指南提出建议（表1）。
复发性尿路感染需要仔细检查，并且可以得到有效治疗和预防。可根据每位患者的特征选择不同的预防方法。
