Czajkowski Krzysztof, Broś-Konopielko Magdalena, Teliga-Czajkowska Justyna
II Faculty and Clinic of Obstetrics and Gynaecology, Medical University of Warsaw, Warsaw, Poland.
Department of Obstetrics and Gynaecology Didactics, Faculty of Health Sciences, Medical University of Warsaw, Warsaw, Poland.
Prz Menopauzalny. 2021 Apr;20(1):40-47. doi: 10.5114/pm.2021.105382. Epub 2021 Apr 21.
Urinary tract infection (UTI) is one of the most common infections afflicting women. UTI often accompanies vaginal infections and is frequently caused by pathogens originating in the digestive tract. The paper discusses the prevalence of UTI in various patient populations, including postmenopausal, pregnant, diabetic, epileptic, and perioperative female patients. Current UTI treatment and prevention guidelines both for primary and recurring UTIs were reviewed. Antibiotic treatment duration should be minimized, with the exact dosage and time schedule depending on the type of infection. Asymptomatic bacteriuria does not always require antibiotic treatment, because their excessive use may lead to the emergence of antibiotic resistant strains. The role of non-antibiotic prophylaxis of recurrent infections involving immunomodulants (OM-89), probiotics, and behavioural interventions was underlined.
尿路感染(UTI)是困扰女性的最常见感染之一。UTI常伴有阴道感染,且频繁由源自消化道的病原体引起。本文讨论了UTI在各种患者群体中的患病率,包括绝经后、怀孕、糖尿病、癫痫以及围手术期女性患者。回顾了当前针对原发性和复发性UTI的治疗与预防指南。抗生素治疗疗程应尽量缩短,具体剂量和时间安排取决于感染类型。无症状菌尿症并不总是需要抗生素治疗,因为过度使用抗生素可能导致抗生素耐药菌株的出现。强调了涉及免疫调节剂(OM-89)、益生菌和行为干预的复发性感染非抗生素预防的作用。