细菌尿的患病率和症状良性前列腺增生患者的治疗结果:一项前性观察性研究
Niroj Ramdam1, Pawan Sapkota Upadhya1, Prajjwol Luitel2
1Department of Surgery, B.P. Koirala Institute of Health Sciences, Dharan.
Annals of medicine and surgery (2012)
|December 9, 2024
概括
细菌性尿症在良性前列腺增生 (BPH) 中很常见. 抗生素治疗改善了尿路症状得分,但在大多数BPH患者中没有清除细菌.
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
- 微生物学 微生物学
背景情况:
- 良性前列腺增生症 (BPH) 在全球越来越普遍.
- 细菌感染导致BPH患者下尿路症状 (LUTS).
- 了解细菌性尿病的流行和治疗对于管理BPH并发症至关重要.
研究的目的:
- 为了确定患有症状的BPH的患者中细菌性尿的患病率.
- 为了评估这个患者群体对抗生素的治疗反应.
- 评估抗生素治疗对LUTS和细菌尿的影响.
主要方法:
- 这是一项为期一年的前性研究,对131名症状BPH患者进行了研究.
- 尿样分析显微镜,培养和灵敏度.
- 国际前列腺症状评分 (IPSS) 在抗生素治疗1周前后记录.
主要成果:
- 大肠杆菌 (47.6%) 是最常见的病原体,其次是Klebsiella pneumoniae.
- 尼托福兰和塞菲克西姆对常见的分离物有很高的敏感性.
- 69%的患者在治疗后获得了无菌的尿液培养;IPSS得分显著改善 (P<0.05).
结论:
- 在该地区的症状BPH患者中,细菌尿很常见.
- 抗生素治疗有效降低了LUTS,但对细菌尿的影响有限.
- 可能需要进一步的研究来优化BPH中的细菌性尿症管理.
相关概念视频
Nursing Assessment of the Genitourinary System I: Health History
The genitourinary system is critical to maintaining fluid balance, waste elimination, and reproductive function. Nurses play a vital role in assessing this system, beginning with a thorough health history. This process involves gathering patient information, identifying risk factors, and recognizing symptoms of genitourinary disorders. Early detection is vital for timely interventions and management.1. Gathering Patient InformationA complete health history includes the patient’s personal,...
Urinary Tract Infection II: Pathophysiology
The pathophysiology of urinary tract infections (UTIs) encompasses several progressive stages, beginning with bacterial colonization and culminating in potential systemic complications if untreated. UTIs are primarily initiated by bacteria, such as Escherichia coli, which often originate from the gastrointestinal tract and migrate to the urinary system through the periurethral area. This migration can occur via several routes, including improper hygiene practices, sexual activity, or...
Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
Urinary Tract Infection IV: Nursing Management
In managing urinary tract infections (UTIs) in nursing, a comprehensive assessment is essential. Begin by gathering subjective data, such as the patient’s complaints of dysuria (painful urination), urinary frequency, urgency, suprapubic pain, and any lower abdominal discomfort. This information can be complemented by questions regarding previous UTIs, sexual activity, and personal hygiene practices, which can provide insight into risk factors. Objective assessment should focus on signs like...
Urine Studies II: Urine Culture and Sensitivity Test
A urine culture and sensitivity test is a diagnostic procedure used to identify urinary tract bacterial infections and determine the most effective antibiotics for treatment. This test is generally preferred when a patient shows manifestations of a urinary tract infection, such as frequent or painful urination, cloudy or foul-smelling urine, or lower abdominal pain.Purpose of the TestThe primary goals of a urine culture and sensitivity test are to:Determine the specific bacteria causing the...
Microbiota of the Urogenital Tract
The human urogenital system, once thought to be sterile in healthy individuals, is now recognized as a complex microbial habitat. Advancements in molecular sequencing techniques have revealed that even in healthy adults, the kidneys and bladder harbor microbial populations similar to those found in the distal urethra, albeit in much lower abundance. These resident microorganisms, while generally innocuous, can become opportunistic pathogens under conditions that alter the urogenital...


