Department of Medicine and Pathology and Urology, Columbia University, New York, NY, USA; email:
Annu Rev Physiol. 2022 Feb 10;84:533-558. doi: 10.1146/annurev-physiol-052521-121810. Epub 2021 Nov 15.
Urinary tract infection (UTI) is the most common type of urogenital disease. UTI affects the urethra, bladder, ureter, and kidney. A total of 13.3% of women, 2.3% of men, and 3.4% of children in the United States will require treatment for UTI. Traditionally, bladder (cystitis) and kidney (pyelonephritis) infections are considered independently. However, both infections induce host defenses that are either shared or coordinated across the urinary tract. Here, we review the chemical and biophysical mechanisms of bacteriostasis, which limit the duration and severity of the illness. Urinary bacteria attempt to overcome each of these defenses, complicating description of the natural history of UTI.
尿路感染(UTI)是最常见的泌尿生殖系统疾病。UTI 影响尿道、膀胱、输尿管和肾脏。在美国,共有 13.3%的女性、2.3%的男性和 3.4%的儿童需要接受 UTI 治疗。传统上,膀胱(膀胱炎)和肾脏(肾盂肾炎)感染被认为是独立的。然而,这两种感染都会引发宿主防御反应,这些反应在整个泌尿道中是共享或协调的。在这里,我们回顾了抑菌的化学和物理机制,这些机制限制了疾病的持续时间和严重程度。尿液中的细菌试图克服这些防御机制,这使得 UTI 的自然病史描述变得复杂。