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下尿路炎症与感染:关键的微生物学和免疫学方面

Lower Urinary Tract Inflammation and Infection: Key Microbiological and Immunological Aspects.

作者信息

Dickson Kayle, Zhou Juan, Lehmann Christian

机构信息

Department of Microbiology and Immunology, Dalhousie University, Halifax, NS B3H 4R2, Canada.

Department of Anesthesiology, Pain Management and Perioperative Medicine, Dalhousie University, Halifax, NS B3H 4R2, Canada.

出版信息

J Clin Med. 2024 Jan 5;13(2):315. doi: 10.3390/jcm13020315.

Abstract

The urinary system, primarily responsible for the filtration of blood and waste, is affected by several infectious and inflammatory conditions. Focusing on the lower tract, this review outlines the physiological and immune landscape of the urethra and bladder, addressing key immunological and microbiological aspects of important infectious/inflammatory conditions. The conditions addressed include urethritis, interstitial cystitis/bladder pain syndrome, urinary tract infections, and urosepsis. Key aspects of each condition are addressed, including epidemiology, pathophysiology, and clinical considerations. Finally, therapeutic options are outlined, highlighting gaps in the knowledge and novel therapeutic approaches.

摘要

泌尿系统主要负责血液过滤和废物排泄,会受到多种感染性和炎症性疾病的影响。本综述聚焦于下尿路,概述了尿道和膀胱的生理及免疫情况,阐述了重要感染性/炎症性疾病的关键免疫学和微生物学方面。所涉及的疾病包括尿道炎、间质性膀胱炎/膀胱疼痛综合征、尿路感染和尿脓毒症。针对每种疾病的关键方面进行了阐述,包括流行病学、病理生理学和临床考量。最后,概述了治疗方案,突出了知识空白和新的治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5ca/10816374/b1a3d1fa421a/jcm-13-00315-g001.jpg

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