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全面了解尿路感染:从病理生理学到精准诊断与管理。

Comprehensive insights into UTIs: from pathophysiology to precision diagnosis and management.

机构信息

Quorum Sensing Laboratory, Centre for Research in Infectious Diseases (CRID), School of Chemical and Biotechnology, SASTRA Deemed to be University, Thanjavur, India.

Nanosensors Laboratory, School of Electrical & Electronics Engineering, Centre for Nanotechnology & Advanced Biomaterials (CeNTAB), SASTRA Deemed to be University, Thanjavur, India.

出版信息

Front Cell Infect Microbiol. 2024 Sep 24;14:1402941. doi: 10.3389/fcimb.2024.1402941. eCollection 2024.

Abstract

Urinary tract infections (UTIs) are the second most common infectious disease, predominantly impacting women with 150 million individuals affected globally. It increases the socio-economic burden of society and is mainly caused by , , , spp., and spp. The severity of the infection correlates with the host factors varying from acute to chronic infections. Even with a high incidence rate, the diagnosis is mainly based on the symptoms, dipstick analysis, and culture analysis, which are time-consuming, labour-intensive, and lacking sensitivity and specificity. During this period, medical professionals prescribe empirical antibiotics, which may increase the antimicrobial resistance rate. Timely and precise UTI diagnosis is essential for addressing antibiotic resistance and improving overall quality of life. In response to these challenges, new techniques are emerging. The review provides a comprehensive overview of the global burden of UTIs, associated risk factors, implicated organisms, traditional and innovative diagnostic methods, and approaches to UTI treatment and prevention.

摘要

尿路感染(UTIs)是第二大常见传染病,主要影响女性,全球有 1.5 亿人受到影响。它增加了社会的社会经济负担,主要由 、 、 、 和 引起。感染的严重程度与宿主因素有关,从急性感染到慢性感染不等。即使发病率很高,诊断主要还是基于症状、尿试纸分析和培养分析,这些方法既耗时、又费力,并且缺乏敏感性和特异性。在此期间,医务人员会根据经验开出抗生素,这可能会增加抗生素耐药率。及时、准确的 UTI 诊断对于解决抗生素耐药性问题和提高整体生活质量至关重要。针对这些挑战,新的技术正在出现。本文综述了 UTI 的全球负担、相关危险因素、感染的病原体、传统和创新的诊断方法以及 UTI 的治疗和预防方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c5c2/11458535/2809f5d5ff3a/fcimb-14-1402941-g001.jpg

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