Forland M
Office of the Medical Dean, University of Texas Medical School, San Antonio 78284.
Postgrad Med. 1993 Apr;93(5):71-4, 77-8, 84-6. doi: 10.1080/00325481.1993.11701661.
In patients with apparent urinary tract infection, clinical presentation and results of physical examination and a few simple laboratory studies can identify patients who need urine culture and/or imaging studies and can guide initial therapy. A wide variety of effective antibiotics are available for various causes, and local patterns of microbial sensitivity and cost-effectiveness help govern drug selection. Response to therapy governs further treatment and follow-up. Exclusion of complicated infection and particular risk factors permits simplified but effective management of symptomatic recurrent infections.
对于疑似尿路感染的患者，临床表现、体格检查结果以及一些简单的实验室检查能够识别出需要进行尿培养和/或影像学检查的患者，并可指导初始治疗。针对各种病因有多种有效的抗生素可供选择，当地的微生物敏感性模式和成本效益有助于指导药物选择。治疗反应决定了进一步的治疗和随访。排除复杂感染和特定风险因素后，可对症状性复发性感染进行简化但有效的管理。
