在西班牙加泰罗尼亚的初级保健中男性的尿道感染,西班牙
Silvia Fernández-García1,2,3, Ana Moragas Moreno4,5,6, Maria Giner-Soriano1,3
1Fundació Institut Universitari per a la Recerca a l'Atenció Primària de Salut Jordi Gol i Gurina, 08007 Barcelona, Spain.
Antibiotics (Basel, Switzerland)
|November 24, 2023
概括
这项研究分析了西班牙超过30万名男性尿道感染 (UTI),发现诺是最常见的治疗方法. 尽管耐药性率高,但诺隆在尿路感染中的使用仍然存在.
科学领域:
- 流行病学 流行病学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 抗菌素耐药性 (AMR) 是一个全球危机,因过度使用抗生素而加剧.
- 尿路感染 (UTI) 在初级卫生保健 (PHC) 中很常见,男性流行病学数据有限.
- 这项研究解决了在西班牙加泰罗尼亚地区了解男性尿路感染管理方面的差距.
研究的目的:
- 在西班牙加泰罗尼亚的一个大型初级医疗保健数据库中描述男性尿路感染的流行病学.
- 分析男性尿道感染的抗生素处方模式和治疗持续时间.
- 为了确定与严重结果相关的尿路感染类别,如败血症.
主要方法:
- 使用SIDIAP和CMBD数据库 (2012-2021) 进行基于人口的观察队列研究.
- 包括被诊断患有尿路感染的男性患者,分为囊炎,前列腺炎,甲状腺炎/表皮炎,尿路炎和肌炎.
- 对抗生素治疗,持续时间,尿液培养文档和败血症发病率的分析.
主要成果:
- 记录了超过3.16万例男性尿路感染,囊炎是PHC中最常见的诊断.
- 昆类药物是大多数尿路感染的主要治疗方法,除了尿路炎 (抗生素组合).
- 治疗持续时间为9-18天 (前列腺炎长达21天);肌炎与最高的败血症率 (3.0%) 有关.
结论:
- 这是西班牙首次对男性尿道感染进行大规模的PHC研究,显示了与其他研究相似的人口统计数据.
- 在该地区,用于治疗男性尿路感染的昆类药物普遍使用,治疗持续时间为9-18天.
- 高度类素耐药性 (>20%) 与其频繁的处方形成鲜明对比,突出了严重的公共卫生问题.
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