在成年女性人群中对无症状细菌尿的管理
Nazema Y Siddiqui1, A Lenore Ackerman2, Sonali D Advani1
1Duke University School of Medicine, Durham, NC.
Urogynecology (Philadelphia, Pa.)
|December 17, 2025
概括
无症状细菌尿 (ASB) 在成年女性中很常见,通常不需要治疗,因为它可能会比益处更有害. 患有慢性尿路疾病的妇女急性症状变化需要尿液分析和培养以提供治疗指导.
科学领域:
- 泌尿和妇科 泌尿和妇科
- 传染性疾病 传染性疾病
- 内部医学 内部医学
背景情况:
- 无症状细菌尿 (ASB) 是成年女性常见的疾病,随着年龄的增长而增加.
- 目前的临床实践往往涉及治疗ASB,尽管益处的证据有限.
- 美国泌尿内科学会召集了一个撰写小组,以解决ASB的管理指南.
研究的目的:
- 制定关于成人女性无症状细菌尿的管理的临床共识声明.
- 建立基于证据的建议,确定何时治疗ASB.
- 为评估患有慢性下尿路症状和细菌尿症的妇女急性症状变化的指导提供指导.
主要方法:
- 修改后的Delphi过程被使用在Bacteriuria写作小组中.
- 内容专家开发和评估了关于ASB管理的临床相关主题问题.
- 进行了文献搜索,以支持每个陈述的证据摘要.
主要成果:
- 在经过多轮讨论和改进后,在25个声明上达成共识.
- ASB在成年女性中普遍存在,其发病率随着年龄的增长而增加.
- 对于大多数女性来说,ASB的治疗通常被认为对女性造成的伤害大于益处.
结论:
- 协商一致声明强调,成年女性的ASB通常不需要抗微生物治疗.
- 对于经历慢性下尿路症状急性变化的女性,建议进行尿液分析和尿液培养以指导抗菌治疗决策.
- 这些发现提倡对ASB管理采取保守的方法,优先考虑患者的安全,避免不必要的抗生素使用.
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