怀孕期间无症状细菌性尿症的治疗:基于危险因素的方法
George Zhanel1, Patricia de Rossi2, Cosimo Oliva3
1Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada.
Journal of global antimicrobial resistance
|November 22, 2025
概括
具有尿路感染 (UTI) 高风险的孕妇应接受选择性查. 这种方法确保了无症状细菌性尿症 (ASB) 或囊炎的抗生素治疗是必要的,同时促进抗菌药物管理,防止炎炎.
科学领域:
- 产科和妇科 产科和妇科
- 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:
- 怀孕增加了尿路感染 (UTI) 的风险,可能导致发炎,早产和低出生体重.
- 对于患有无症状细菌 (ASB) 或囊炎的孕妇来说,迅速的抗生素治疗至关重要,以防止严重的后果.
研究的目的:
- 提出一个基于风险因素的策略来管理ASB和怀孕期间囊炎.
- 为了优化抗生素的使用,确保益处超过对母亲和新生儿的潜在危害.
主要方法:
- 倡导在高危孕妇中选择性ASB查,而不是普遍查.
- 识别尿路感染的危险因素:以前的尿路感染,糖尿病,尿路异常,免疫抑制或过早分娩史.
- 建议对持续的ASB (两个阳性培养物) 和确诊的囊炎进行抗生素治疗.
主要成果:
- 基于风险因素的方法旨在预防ASB和囊炎的孕妇的炎症进展.
- 该战略通过为必要情况下保留抗生素来支持抗菌药物管理原则.
结论:
- 建议对 ASB 和怀孕期间囊炎进行选择性查和向性抗生素治疗.
- 这种方法平衡了预防感染的需要和在孕妇中负责任地使用抗生素的需求.
相关概念视频
Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
236
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...
236
Urinary Tract Infection IV: Nursing Management
407
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...
407
Acute Pyelonephritis II: Diagnostic Studies and Management
291
Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
291
Urine Studies II: Urine Culture and Sensitivity Test
776
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...
776
Factors Affecting the Risk of Infection
13.2K
The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
13.2K
Urinary Tract Infection II: Pathophysiology
542
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...
542


