摘要
泌尿系统感染是临床上常见的感染性疾病,特别是女性人群发病率较高,但目前其临床诊断、分类及治疗尚无统一标准,国内内科学、外科学教科书相关内容也存在不一致。2023年3月,欧洲泌尿外科协会(EAU)更新了泌尿及男性生殖系统感染指南。相较于2022版指南,2023版指南在复发性尿路感染预防、围手术期抗生素预防、前列腺活检等方面内容进行了重要补充,新增了泌尿生殖系统结核的内容。本文通过对新版指南中尿路感染相关内容进行解读,为全科医生在尿路感染的诊断、治疗及规范管理方面提供循证指导。
Urinary system infections are common in clinical practice,especially in the female population with a high incidence.However,there is no unified standard for clinical diagnosis,classification,and treatment,leading to inconsistencies,even within internal medicine and surgery textbooks.In March 2023,The European Association of Urology(EAU)published the latest guidelines on urologic infections.Compared with the 2022 version,the prevention of recurrent urinary tract infections,perioperative antibiotic prophylaxis,and prostate biopsy have been updated in the 2023 version of the guideline,and new contents of genitourinary tuberculosis had been added.This article interprets the relevant contents of urinary tract infection from the new guidelines to provide evidence-based instructions for general practitioners on the diagnosis,treatment,and standardized management of urinary tract infection.
作者
刘长生
徐志杰
LIU Changsheng;XU Zhijie(Department of General Practice,the Second Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou,Zhejiang 310009,China)
出处
《中华全科医学》
2024年第6期907-914,共8页
Chinese Journal of General Practice
关键词
尿路感染
成人无症状性细菌尿
膀胱炎
肾盂肾炎
尿脓毒血症
尿道炎
Urinary tract infection
Asymptomatic bacteriuria in adults
Cystitis
Pyelonephritis
Urosepsis
Urethritis
作者简介
通信作者:徐志杰,E-mail:zhijiexu@zju.edu.cn。
