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念珠菌性尿道炎治疗的当前理念

Current concepts in the management of urinary candidosis.

作者信息

Wise G J

出版信息

J Urol (Paris). 1985;91(7):409-16.

PMID:4086874
Abstract

Persistent Candiduria may represent significant urinary infection which has the potential for inducing obstructive uropathy and/or renal abscesses. Urine candidal colony counts, serological and radiographic studies will differentiate colonization from infection. Initial treatment may involve correction of iatrogenic factors such as removal of catheters, stopping antibacterial antibiotics and improvement of the patient's nutritional status. Persistence of funguria will require irrigations of the urinary system with antifungal agents and/or the use of systemic antifungal therapy.

摘要

持续性念珠菌尿可能代表严重的泌尿系统感染,有诱发梗阻性尿路病和/或肾脓肿的可能。尿念珠菌菌落计数、血清学和影像学检查将区分定植与感染。初始治疗可能包括纠正医源性因素,如拔除导管、停用抗菌药物以及改善患者营养状况。真菌尿持续存在则需要用抗真菌剂冲洗泌尿系统和/或使用全身性抗真菌治疗。

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