Campetella Marco, Filomena G B, Marino F, Fantasia F, Russo P, Gavi F, Rossi F, Gandi C, Ragonese M, Foschi N, Totaro A, Sacco E, Racioppi M, Bientinesi R
Department of Urology, Fondazione Policlinico Universitario A. Gemelli IRCCS - Università Cattolica del Sacro Cuore, Rome, Italy.
Urologia. 2024 May;91(2):384-393. doi: 10.1177/03915603231224511. Epub 2024 Jan 27.
Urinary tract infections (UTIs) present a formidable challenge in the care of individuals affected by multiple sclerosis (MS). Lower urinary tract dysfunction is a prevalent issue among MS patients, predisposing them to an elevated risk of UTIs. When left untreated, UTIs can further exacerbate the already compromised quality of life in individuals with MS. The diagnosis and management of UTIs in MS patients necessitate a careful clinical evaluation. The objective of this review is to delineate preventive strategies and current and developing therapeutic approaches for preventing and treating UTIs associated with urinary dysfunction, catheterization, and upper urinary tract infections in patients with MS. Effectively addressing UTIs and urinary tract dysfunction in individuals with multiple sclerosis calls for a comprehensive, interdisciplinary approach.
尿路感染（UTIs）给多发性硬化症（MS）患者的护理带来了巨大挑战。下尿路功能障碍在MS患者中是一个普遍问题，使他们更容易发生UTIs。如果不进行治疗，UTIs会进一步恶化MS患者本已受损的生活质量。MS患者UTIs的诊断和管理需要仔细的临床评估。本综述的目的是阐述预防策略以及预防和治疗与MS患者排尿功能障碍、导尿和上尿路感染相关的UTIs的当前及正在发展的治疗方法。有效解决多发性硬化症患者的UTIs和尿路功能障碍需要一种全面的、跨学科的方法。
