[无症状细菌尿的不适当治疗]
Rama Sultan1, Tomas Cazaux1, Jean Regina1
1Service de médecine interne et des soins intensifs, Hôpital de Nyon, GHOL, 1260 Nyon.
Revue medicale suisse
|April 15, 2024
概括
无症状细菌尿,即尿液中细菌在没有症状的情况下存在,只需要在特定情况下 (如怀孕) 进行治疗. 对无症状细菌尿的不必要抗生素使用增加了抗生素耐药性和Clostridioides difficile感染等风险.
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
- 临床微生物学 临床微生物学
背景情况:
- 无症状的细菌尿在临床环境中很常见.
- 当前的做法往往导致不必要的抗微生物治疗.
- 这可能导致不良影响和抗菌素耐药性.
研究的目的:
- 为了澄清治疗无症状细菌尿症的指示.
- 为了突出与不适当的治疗相关的风险.
- 为指导适当的尿液检测和抗微生物药物管理.
主要方法:
- 临床指南和证据的文献综述.
- 对治疗无症状细菌尿症的风险和益处的分析.
- 评估尿路感染的诊断标准.
主要成果:
- 建议仅在孕妇和入侵性泌尿外科手术之前进行治疗.
- 不适当的治疗与过敏反应,抗生素耐药性增加和Clostridioides difficile感染有关.
- 无症状个体的阳性尿液培养通常会触发不必要的抗生素.
结论:
- 尿液分析和培养应保留给有症状的患者或有明显迹象的患者.
- 审慎使用尿液检测和抗菌药物治疗至关重要.
- 遵守指导方针可以减轻不良影响,并打击抗菌素耐药性.
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