弥合知识差距:尿道支架抗生素使用的过去,现在和未来
Jasper Cornette1, Dirk Lange2, Ben H Chew2
1University Hospital Ghent, Ghent, Belgium.
BJU international
|September 5, 2024
概括
尿道支架感染和抗生素使用缺乏指导方针. 需要进一步的研究,以建立基于证据的方法来预防和治疗这些常见的尿路感染 (UTI).
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
- 医学微生物学 医学微生物学
背景情况:
- 尿道支架通常用于泌尿器科手术.
- 与支架相关的感染和细菌殖民是显著的临床问题.
- 目前使用抗生素的做法缺乏标准化的指导方针.
研究的目的:
- 审查有关尿路支架相关感染的文献.
- 评估抗生素使用和细菌殖民模式.
- 识别知识差距并指导未来的研究.
主要方法:
- 关于PubMed,Cochrane和泌尿器学协会网站的综合文献评论.
- 包括1983年至2024年1月出版的英语文学.
- 对抗生素预防,感染发生率和管理研究的分析.
主要成果:
- 全球缺乏明确的指导方针,用于在支架手术期间的抗生素预防.
- 手术前的尿液培养对于指导先体患者的预防至关重要.
- 在支架停留时间期间的抗生素预防不能预防尿路感染 (UTI).
- 有限的证据支持在支架切除时使用抗生素;尿路感染的管理策略各不相同.
- 支架交换和培养可以帮助管理与生物膜相关的感染.
结论:
- 不必要的抗生素使用有助于细菌耐药性,需要明智的应用.
- 显著需要进一步的研究,以制定基于证据的抗生素预防和支架相关感染的指南.
- 改进的指导方针对于这种常见的泌尿器科实践至关重要.
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