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妊娠期尿路感染和菌尿症的治疗进展。

Advances in the Treatment of Urinary Tract Infection and Bacteriuria in Pregnancy.

机构信息

Department of Urology, 161 Fort Washington Avenue, 11th floor, New York, NY 10032, USA.

Department of Urology, 161 Fort Washington Avenue, 11th floor, New York, NY 10032, USA.

出版信息

Urol Clin North Am. 2024 Nov;51(4):571-583. doi: 10.1016/j.ucl.2024.07.001. Epub 2024 Aug 17.

Abstract

Understanding the management of asymptomatic bacteriuria (ASB) and urinary tract infection (UTI) during pregnancy is important, given the prevalence of these conditions, associated risks to the mother and fetus /newborn, and potential requirement for antibiotic treatment. Screening for ASB with a urine culture is required during pregnancy, and a positive culture is treated for 5 to 7 days with culture-specific antibiotics. Recent research on non-antibiotic prevention and shortened duration of antibiotic treatment may offer a slightly different approach to ASB and UTI in pregnancy.

摘要

了解妊娠无症状性菌尿(ASB)和尿路感染(UTI)的管理非常重要,因为这些情况很常见,会给母亲和胎儿/新生儿带来相关风险,并且可能需要抗生素治疗。妊娠期间需要用尿液培养法筛查 ASB,如果培养阳性,则需要用针对特定培养菌的抗生素治疗 5 至 7 天。最近关于非抗生素预防和缩短抗生素治疗持续时间的研究可能为妊娠中的 ASB 和 UTI 提供一种略有不同的处理方法。

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