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抗生素用于泌尿动力学:全面的审查,以告知当地实践
1Manukau Surgery Centre, Counties Manukau Health Board, Auckland, New Zealand.
Urology practice
|August 18, 2023
概括
对于所有接受尿动力学测试的患者,不建议进行常规抗生素预防,因为尿路感染的发病率很低. 建议根据尿液分析和个体风险因素进行有针对性的预防.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 传染性疾病 传染性疾病
- 基于证据的医学 基于证据的医学
背景情况:
- 对于所有接受尿动力学检测的患者,预防性抗生素的必要性尚不清楚.
- 目前的文献缺乏关于是否普遍使用抗生素或针对高危人群的共识.
研究的目的:
- 在尿动力学测试后,确定常规抗生素预防与向预防预防预防尿路感染 (UTI) 的有效性.
- 建立基于证据的指导方针,用于这种患者群体的抗生素使用.
主要方法:
- 从1995年1月到2014年12月,在主要数据库 (MEDLINE,Embase,Ovid,Cochrane图书馆,CINAHL) 进行了全面的文献搜索.
- 分析包括30篇出版物,重点关注抗生素使用,尿路感染预防和结果措施.
- 尿分析查被确定为被广泛接受的最佳实践.
主要成果:
- 许多研究都涉及抗生素的使用,但对结果的定义 (例如,细菌与尿路感染) 和抗生素覆盖范围各不相同.
- 结果测量范围从2天到7天不等,一些研究专注于特定的人口子组.
- 在尿动力学测试后的一般人群中观察到尿路感染的发病率较低.
结论:
- 泌尿动力学研究与尿路感染的风险较低有关,从而否定了常规抗生素预防的需要.
- 临床实践应以感染率的当地审计为指导.
- 建议制定针对个体的抗微生物预防指南,考虑尿液分析,患者风险因素和局部易感性.
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