El Nekidy Wasim S, Soong Derrick, Mooty Mohamad, Ghazi Islam M
Cleveland Clinic, Abu Dhabi, United Arab Emirates and Cleveland Clinic Lerner College of Medicine, Case Western University, Cleveland, OH, USA.
Windsor Regional Hospital, Windsor, ON, Canada.
IDCases. 2020 Mar 21;20:e00748. doi: 10.1016/j.idcr.2020.e00748. eCollection 2020.
Providing care for patients with chronic kidney disease requires considerations that are unique to this population. Several references recommend the treating urinary tract infections with antibiotics that achieve considerable concentrations in urine however this is not applicable in anuric patients undergoing hemodialysis who are unable to excrete antibiotics significantly in urine. We report successful treatment of several episodes of urinary tract infections in hemodialysis patient highlighting the questionable need for antimicrobial urine concentration.
为慢性肾病患者提供护理需要考虑该人群特有的因素。一些参考文献建议使用在尿液中能达到较高浓度的抗生素来治疗尿路感染，然而这并不适用于正在接受血液透析且无尿的患者，因为他们无法在尿液中大量排泄抗生素。我们报告了对一名血液透析患者多次尿路感染的成功治疗，突出了对抗菌药物尿液浓度需求的存疑之处。
