Perepanova T S
N.. Lopatkin Research Institute of Urology and Interventional Radiology - a branch of the National Medical Research Radiological Center, Moscow, Russia.
Russian Society of Urologists, Moscow, Russia.
Urologiia. 2022 Mar(1):118-125.
The article is devoted to the stages of developing clinical recommendations on bacterial cystitis in accordance with the order of the Ministry of Health of Russia. Principles of evidence -based medicine (meta-analyses, systematic reviews and randomized clinical trials) are given. The Evidence Validity Level Assessment Scale (TDS) and Recommendation Credibility Level Assessment Scale (TDS) are given. In accordance with these requirements, modern methods for diagnosing bacterial cystitis have been selected, including the Acute Cystitis Symptom Score (ACSS), and the urination diary. Current approaches to treatment of asymptomatic bacteriuria, antimicrobial treatment regimens of acute and recurrent bacterial cystitis are given. Evidence-based methods of cystitis recurrence prevention are presented. Information is also provided for patients, including lifestyle recommendations, water regime, risk factors for cystitis recurrences, and explanations for completing questionnaires and diaries.
本文致力于按照俄罗斯卫生部的指令制定关于细菌性膀胱炎的临床建议的各个阶段。给出了循证医学的原则（荟萃分析、系统评价和随机临床试验）。给出了证据有效性水平评估量表（TDS）和推荐可信度水平评估量表（TDS）。根据这些要求，选择了现代细菌性膀胱炎诊断方法，包括急性膀胱炎症状评分（ACSS）和排尿日记。给出了无症状菌尿的当前治疗方法、急性和复发性细菌性膀胱炎的抗菌治疗方案。介绍了基于证据的膀胱炎复发预防方法。还为患者提供了信息，包括生活方式建议、饮水方案、膀胱炎复发的危险因素以及填写问卷和日记的说明。
