老年人的尿路感染:扩展谱β-乳糖酶生产的相关因素
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Updated: Jun 25, 2025

Establishment and Characterization of UTI and CAUTI in a Mouse Model
Published on: June 23, 2015
Sena Alkan1, Ilker Inanc Balkan1, Serkan Surme2
1Department of Infectious Diseases and Clinical Microbiology, Istanbul University-Cerrahpasa, Cerrahpasa Medical Faculty, Istanbul, Türkiye.
由扩展谱β-乳糖酶 (ESBL) 生产细菌引起的尿路感染 (UTIs) 在老年人中很常见. 男性性别,经常性尿路感染和细菌病是ESBL产生大肠杆菌和肺炎的关键因素.
科学领域:
- 传染性疾病 传染性疾病
- 老年病的医生 老年病的医生
- 微生物学 微生物学
背景情况:
- 由扩展谱β-乳糖酶 (ESBL) 引起的尿路感染 (UTI),产生大肠杆菌和肺炎,是老年人疾病和死亡的重要原因.
- 识别与ESBL产生相关的因素对于有效的实证治疗策略至关重要.
研究的目的:
- 确定与老年人患有大肠杆菌或肺炎引起的尿路感染的ESBL产生相关的因素.
- 为了告知老年患者尿路感染的经验性治疗选择.
主要方法:
- 一项前性观察性研究包括65岁以上的住院患者,他们患有社区发病或在医院获得的上部尿路感染.
- 使用多变量分析来确定ESBL产生的相关因素.
主要成果:
- 在由*大肠杆菌*或*肺炎*引起的尿路感染中,ESBL产生的患病率为69.1%.
- 在ESBL生产小组中观察到更高的C反应蛋白 (CRP) 值.
- 男性性别 (OR:2.72),之前的复发性尿路感染 (OR:3.14) 和二次细菌病 (OR:4.95) 与产生ESBL的尿路感染有显著的关联.
结论:
- 老年男性有复发性感染史的严重尿路感染应该引起ESBL生产的怀疑,特别是在患病率高的地区.
- 应考虑在患有ESBL生产生物体的已确定的风险因素的患者进行实证治疗.
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