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长期留置导管患者导管机械性和感染性并发症的非抗生素预防:一项涉及L-蛋氨酸的交叉前瞻性研究。

Non-Antibiotic Prevention of Catheter Mechanic and Septic Complications in Patients with Long-Term Indwelling Catheters: a Crossover Prospective Study Involving L-Methionine.

作者信息

Rusu Aurel, Popescu Razvan-Ionut, Predoiu Gabriel, Petca Razvan-Cosmin, Ciudin Alexandru, Petca Aida, Aurelian Justin, Radavoi Daniel, Jinga Viorel

机构信息

Department of Urology, "Carol Davila" University of Medicine and Pharmacy, 8 Eroii Sanitari Blvd., 050474 Bucharest, Romania.

Department of Urology, Vaslui Emergency Hospital, 233 Stefan cel Mare, 730006 Vaslui, Romania.

出版信息

Maedica (Bucur). 2024 Jun;19(2):212-220. doi: 10.26574/maedica.2024.19.2.212.

Abstract

Bacterial antimicrobial resistance (AMR) is a major public health concern in modern society caused by bacterial changes that impair the efficacy of infection-treating drugs. Non-antibiotic techniques are critical for controlling the antimicrobial resistance concern because they provide a means of alleviating symptoms without needing antibiotics. This prospective study aims to determine whether administering L-methionine reduces mechanical and bacterial problems associated with long-term indwelling urinary catheters. The trial focused on administering only L-methionine for a three-month period to patients who had long-term bladder catheters, either indwelling or suprapubic. The catheter exchange rates were categorized according to acute urinary tract infection, macroscopic haematuria and symptomatic urinary tract infection. During the time of inclusion, catheter-related incidents were recorded. The primary incident observed was acute urine retention caused by catheter obstruction in 63.6.

摘要

细菌抗菌耐药性(AMR)是现代社会中一个主要的公共卫生问题,它是由细菌变化导致的,这些变化会削弱抗感染药物的疗效。非抗生素技术对于控制抗菌耐药性问题至关重要,因为它们提供了一种无需抗生素就能缓解症状的方法。这项前瞻性研究旨在确定给予L-蛋氨酸是否能减少与长期留置导尿管相关的机械和细菌问题。该试验专注于对长期留置膀胱导尿管(无论是留置导尿管还是耻骨上导尿管)的患者仅给予L-蛋氨酸,为期三个月。根据急性尿路感染、肉眼血尿和有症状的尿路感染对导尿管更换率进行分类。在纳入期间,记录与导尿管相关的事件。观察到的主要事件是63.6%的患者因导尿管阻塞导致急性尿潴留。

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