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对老年人进行细胞细菌学尿液检查的适当处方

Hendriniaina Raveloson¹, Jihène Ben Hassen¹, Rihab Koraib¹

¹Assistance Publique des Hôpitaux de Paris, Hôpital Paul Doumer, Labruyère, France.

|April 1, 2024

细胞细菌学尿液检查（CBEU）在老年患者中常被频繁开具，有时缺乏明确指征，且存在经验性使用抗生素的风险。本研究旨在评估本院老年科CBEU开具及经验性抗生素治疗的合理性。共纳入129例患者（平均年龄84岁，性别比0.69），共收集229次CBEU，其中20.9%为不恰当指征。培养结果中，43%（n = 99）为无菌，57%（n = 130）为阳性。分离菌以革兰阴性杆菌为主（76.9%），其次为革兰阳性球菌（17.6%）。在113例患者中启用了经验性抗生素治疗，其中68例在CBEU检查前即已开始治疗。头孢曲松和阿莫西林联合克拉维酸是主要治疗方案，占70.8%。74.3%的患者在治疗3天后对抗生素治疗进行了再评估。通过培训医生遵循官方指南，减少不必要的CBEU检查，应成为当前优先工作。

细胞细菌学尿液检查（CBEU）在老年患者中常被频繁开具，有时缺乏明确指征，且存在经验性使用抗生素的风险。本研究旨在评估本院老年科CBEU开具及经验性抗生素治疗的合理性。共纳入129例患者（平均年龄84岁，性别比0.69），共收集229次CBEU，其中20.9%为不恰当指征。培养结果中，43%（n = 99）为无菌，57%（n = 130）为阳性。分离菌以革兰阴性杆菌为主（76.9%），其次为革兰阳性球菌（17.6%）。在113例患者中启用了经验性抗生素治疗，其中68例在CBEU检查前即已开始治疗。头孢曲松和阿莫西林联合克拉维酸是主要治疗方案，占70.8%。74.3%的患者在治疗3天后对抗生素治疗进行了再评估。通过培训医生遵循官方指南，减少不必要的CBEU检查，应成为当前优先工作。

关键词:

年龄较大的成年人.处方处方是一种处方.尿液分析尿液分析尿路感染尿路感染

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