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成人细菌性尿路感染的管理

Management of bacterial urinary tract infections in adults.

作者信息

Hatton J, Hughes M, Raymond C H

机构信息

University of Kentucky Medical Center, Lexington.

出版信息

Ann Pharmacother. 1994 Nov;28(11):1264-72. doi: 10.1177/106002809402801110.

DOI:10.1177/106002809402801110
PMID:7849342
Abstract

OBJECTIVE

To provide a comprehensive review of the diagnosis and therapeutic management considerations in patients with urinary tract infections (UTIs).

DATA SOURCES

A MEDLINE search was used to identify pertinent English language literature, including reviews. Infectious disease textbooks were used for background information.

STUDY SELECTION

Clinical trials evaluating drug therapy in a variety of patient populations with UTIs were reviewed.

DATA EXTRACTION

Background information was obtained from comprehensive reviews. Drug dosing strategies and efficacy comparisons were extracted from the investigations in this area.

DATA SYNTHESIS

Information was processed to provide general guidelines and resources for practitioners to use in managing UTIs.

CONCLUSIONS

There are a number of useful antibiotics for the management of UTIs. The distinctions between infection severity and underlying risk factors within a given population influence the appropriateness of drug selection and duration of treatment.

摘要

目的

全面综述尿路感染(UTIs)患者的诊断及治疗管理要点。

资料来源

通过医学文献数据库(MEDLINE)检索相关英文文献,包括综述。传染病学教科书用于获取背景信息。

研究选择

对评估各种尿路感染患者群体药物治疗的临床试验进行综述。

数据提取

背景信息来自全面综述。药物给药策略和疗效比较从该领域的研究中提取。

数据综合

对信息进行处理,为从业者管理尿路感染提供一般指南和资源。

结论

有多种有效的抗生素可用于治疗尿路感染。特定人群中感染严重程度与潜在风险因素的差异会影响药物选择的合理性和治疗持续时间。

相似文献

1
Management of bacterial urinary tract infections in adults.成人细菌性尿路感染的管理
Ann Pharmacother. 1994 Nov;28(11):1264-72. doi: 10.1177/106002809402801110.
2
Urinary tract infections during pregnancy.妊娠期尿路感染
Ann Pharmacother. 2004 Oct;38(10):1692-701. doi: 10.1345/aph.1D630. Epub 2004 Aug 31.
3
Urinary tract infections in adults.成人尿路感染
ScientificWorldJournal. 2004 Jun 7;4 Suppl 1:76-88. doi: 10.1100/tsw.2004.50.
4
Treatment of uncomplicated urinary tract infections in an era of increasing antimicrobial resistance.在抗菌药物耐药性不断增加的时代,单纯性尿路感染的治疗
Mayo Clin Proc. 2004 Aug;79(8):1048-53; quiz 1053-4. doi: 10.4065/79.8.1048.
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Rational approaches to the treatment of first time, relapsing, and recurrent urinary tract infections.初次发作、复发及反复性尿路感染的合理治疗方法。
Probl Vet Med. 1990 Jun;2(2):290-7.
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[Guidelines for management of urinary tract infections in adults--an initiative].
Urologe A. 2006 Apr;45(4):464-6. doi: 10.1007/s00120-006-1025-7.
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Urinary tract infections: contemporary management.尿路感染:当代治疗方法
Urol Nurs. 2008 Oct;28(5):333-41; quiz 342.
8
Emerging drugs for bacterial urinary tract infections.新兴的治疗细菌性尿路感染的药物。
Expert Opin Emerg Drugs. 2010 Sep;15(3):375-97. doi: 10.1517/14728214.2010.500613.
9
Urinary tract infections. Current approaches, future directions.
Postgrad Med. 2000 Dec;108(7 Suppl Primary):7-15. doi: 10.3810/pgm.12.2000.suppl11.57.
10
[Assessment of the correctness of the diagnosis and treatment of subjects hospitalized for urinary tract infections in clinics and hospitals].
Minerva Pediatr. 1982 Feb 15;34(3):77-82.

引用本文的文献

1
Limited effect of patient and disease characteristics on compliance with hospital antimicrobial guidelines.
Eur J Clin Pharmacol. 2006 Apr;62(4):297-305. doi: 10.1007/s00228-005-0058-y. Epub 2006 Jan 24.
2
Treatment of community-acquired acute uncomplicated urinary tract infection with sparfloxacin versus ofloxacin. The Sparfloxacin Multi Center UUTI Study Group.司帕沙星与氧氟沙星治疗社区获得性急性单纯性尿路感染。司帕沙星多中心泌尿道感染研究组。
Antimicrob Agents Chemother. 1998 Sep;42(9):2262-6. doi: 10.1128/AAC.42.9.2262.