妇女经常性尿路感染 - 风险因素和管理
Jacob E Lazarus1, Kalpana Gupta2
1Department of Medicine, Division of Infectious Diseases, Massachusetts General Hospital, 55 Fruit Street, GRJ 512C, Boston, MA 02114, USA; Harvard Medical School, Boston, MA, USA.
Infectious disease clinics of North America
|April 10, 2024
概括
经常性尿路感染 (UTI) 影响了许多女性,但预防策略未得到充分利用. 本综述详细介绍了基于证据的非抗生素和抗生素治疗方法,以预防频繁的尿路感染.
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
- 妇女健康 妇女健康
背景情况:
- 尿路感染 (UTI) 在女性中非常普遍,超过50%的人在一生中至少经历过一次诊断.
- 很大一部分妇女患有复发性尿道感染 (rUTIs),这对她们的健康造成了巨大的负担.
- 目前基于证据的RUTIs预防策略在临床实践中仍未得到充分利用.
研究的目的:
- 为妇女预防复发性尿路感染提供基于证据的预防策略的全面审查.
- 为实施非抗生素和抗生素预防措施提供实际指导.
- 突出有效的尿路感染预防方法的不足利用情况.
主要方法:
- 对有关预防尿路感染的现有文献进行系统审查.
- 分析证据支持非抗生素干预措施,如增加液体摄入量,阴道雌激素治疗,甲胺和蔓越产品.
- 评估选择的RUTI患者抗生素预防的作用和证据.
主要成果:
- 非抗生素措施,包括增加液体摄入量,阴道雌激素,甲胺和蔓越,在预防尿路感染方面显示不同程度的有效性证据.
- 对经过精心挑选的患有复发性尿路感染的患者,抗生素预防可能是有效的.
- 基于证据的预防策略的可用性与其临床应用之间存在差距.
结论:
- 有效的非抗生素和抗生素策略存在,用于预防女性的复发性尿路感染.
- 提高对这些基于证据的预防方法的认识和实施至关重要.
- 需要进一步努力,以促进在临床环境中利用尿路感染预防策略.
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