在基于人口的女性队列中,反复出现的尿路感染管理和预防技术
Stephanie Gleicher1, Elisabeth M Sebesta1, Melissa R Kaufman1
1Department of Urology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Neurourology and urodynamics
|September 6, 2023
概括
经常性尿路感染 (rUTIs) 显著影响女性.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 妇科 妇科 妇科 妇科
- 公共卫生 公共卫生
背景情况:
- 经常性尿路感染 (rUTIs) 对妇女造成了巨大的心理,身体和财务负担.
- 许多患有RUTI的妇女表达了对当前护理的不满,并推迟了预防措施,直到多次感染后.
研究的目的:
- 调查尿路感染 (UTI) 管理的当前趋势.
- 了解女性实施尿路感染预防策略的情况.
主要方法:
- 在过去12个月内,通过基于网络的调查招募了一个全国性成年女性样本,该样本是过去12个月内自我报告的尿路感染.
- 参与者通过ResearchMatch.org.org注册参加.
主要成果:
- 在755名受试者中,近30%的人报告经历了RUTI.
- 患有RUTI的女性更有可能处于更年期前或更年期后 (超过50%),并报告阴道症状 (三分之二).
- 与没有 (7.9%) 相比,患有RUTI的女性报告了对护理的不满 (15.8%).
- 初级保健医生管理大多数尿路感染,只有26%的女性患有常规性尿路感染咨询泌尿科医生.
- 预防策略,如增加液体摄入量,适当的卫生和性交后排尿是常见的 (超过65%).
- 患有RUTI的女性更频繁地使用经性雌激素,蔓越提取物和预防性抗生素,通常由泌尿科医生指导.
结论:
- 大多数患有尿路感染的女性都会为预防而改变生活方式.
- 患有RUTI的女性对他们的护理不满是两倍的可能性.
- 泌尿科医生在优化RUTI的医疗预防方面发挥着关键作用,但在整体的尿路感染管理中未得到充分利用.
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