在患有复发性尿路感染的妇女中遵守非抗生素预防方案
Sarah Ashmore1, Julia Geynisman-Tan2, Eseohi Ehimiaghe3
1Section of Urogynecology and Reconstructive Pelvic Surgery, University of Chicago, Chicago, IL, USA. sleilaniashmore@gmail.com.
International urogynecology journal
|September 24, 2024
概括
对复发性尿路感染 (rUTIs) 的非抗生素治疗的坚持率很低,为37%. 没有患者因素预测了坚持,这表明临床医生应该在改变治疗方法之前讨论遵守.
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
- 药理学 药理学是指药理学的学科.
背景情况:
- 经常性尿路感染 (rUTIs) 影响生活质量和医疗保健成本.
- 非抗生素治疗方案,如甲胺hippurate,D-mannose和阴道雌激素是预防RUTI的替代方案.
- 了解这些非抗生素治疗的坚持对于有效的RUTI管理至关重要.
研究的目的:
- 为了确定女性的坚持率,对RUTIs进行了非抗生素预防.
- 确定与遵守这些治疗方案相关的人口和临床因素.
主要方法:
- 一项雄心勃勃的队列研究在三级护理中心进行.
- 包括90名成年妇女,她们被处方为RUTIs进行非抗生素预防.
- 使用药物坚持调查问卷 (MAQ) 评估了坚持,得分为0,表明坚持.
主要成果:
- 总体而言,对非抗生素RUTI预防的遵守率为37% (33/90名患者).
- 阴道雌激素是最常被处方的药物 (81.1%).
- 没有人口或临床因素与坚持有显著的关联.
结论:
- 对rUTIs的非抗生素预防的坚持是不理想的.
- 在这个队列中,没有确定坚持的预测因素.
- 在考虑治疗升级之前,临床医生应该主动评估患者遵守非抗生素治疗方案.
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