Osterhage H R, Grups J W, Ackermann R, Frohmüller H
Fortschr Med. 1984 Dec 13;102(46):1178-80.
We analysed the bacteriological urinary findings of all inpatients of the urological department on admission, during hospitalization and on discharge, over a period of one year. The percentage of urological patients with florid urinary tract infections was less than 10%. The most commonly found pathogen was E. coli, followed by Proteus, enterococci, Pseudomonas and Klebsiella. Any change in the bacterial spectrum was not associated with individual diseases or their treatment. Mixed infections were rarely seen. The nosocomial urinary tract infection rate was an overall 1.5%. Since the clinical findings on admission often require the immediate administration of antibiotics, the results of urine culture cannot always be awaited. Given the present situation with respect to resistance, the use of antibiotics with a sensitivity of only 50% does not appear to make good sense. Prior to receiving the bacteriological report, cephalosporins of the second and third generation are to be recommended to treat complicated urinary tract infections in hospitalized urological patients.
我们分析了泌尿外科所有住院患者在入院时、住院期间及出院时的尿液细菌学检查结果，为期一年。患有明显尿路感染的泌尿外科患者比例不到10%。最常见的病原体是大肠杆菌，其次是变形杆菌、肠球菌、铜绿假单胞菌和克雷伯菌。细菌谱的任何变化都与个体疾病或其治疗无关。混合感染很少见。医院获得性尿路感染率总体为1.5%。由于入院时的临床表现通常需要立即使用抗生素，因此不能总是等待尿培养结果。鉴于目前的耐药情况，使用敏感性仅为50%的抗生素似乎没有什么意义。在收到细菌学报告之前，建议使用第二代和第三代头孢菌素治疗住院泌尿外科患者的复杂性尿路感染。
