Urinary tract infections in women

被引:35
作者
McLaughlin, SP [1 ]
Carson, CC [1 ]
机构
[1] Univ N Carolina Hosp, Dept Surg, Div Urol, Chapel Hill, NC 27599 USA
关键词
D O I
10.1016/S0025-7125(03)00148-2
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Urinary tract infections are extremely common bacterial infections with a variable spectrum of clinical morbidity. Structural and functional limitations contribute to increased susceptibility in pediatric, elderly, and pregnant female patients. Host factors, both genetic and acquired, also seem to increase susceptibility or offer protection toward subsequent recurrence by altering bacterial adherence. Treatment is predicated by location of the infection, patient functional status, and comorbidities. Recurrence or persistence warrants a thorough urologic evaluation, and in selected patients there are well-tolerated and appropriate antibiotic prophylaxis strategies.
引用
收藏
页码:417 / +
页数:14
相关论文
共 47 条
[1]  
Bent S, 2002, AM J MED, V113, p20S
[2]   Low dose oestrogen prophylaxis for recurrent urinary tract infections in elderly women [J].
Cardozo, L ;
Benness, C ;
Abbott, D .
BRITISH JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 1998, 105 (04) :403-407
[3]   STUDIES OF INTROITAL COLONIZATION IN WOMEN WITH RECURRENT URINARY INFECTIONS .8. ROLE OF BACTERIAL ADHERENCE [J].
FOWLER, JE ;
STAMEY, TA .
JOURNAL OF UROLOGY, 1977, 117 (04) :472-476
[4]  
Foxman B, 2002, AM J MED, V113, p5S
[5]   Increasing antimicrobial resistance and the management of uncomplicated community-acquired urinary tract infections [J].
Gupta, K ;
Hooton, TM ;
Stamm, WE .
ANNALS OF INTERNAL MEDICINE, 2001, 135 (01) :41-50
[6]   EFFECTS OF RECENT SEXUAL-ACTIVITY AND USE OF A DIAPHRAGM ON THE VAGINAL MICROFLORA [J].
HOOTEN, TM ;
ROBERTS, PL ;
STAMM, WE .
CLINICAL INFECTIOUS DISEASES, 1994, 19 (02) :274-278
[7]   NONOXYNOL-9 - DIFFERENTIAL ANTIBACTERIAL ACTIVITY AND ENHANCEMENT OF BACTERIAL ADHERENCE TO VAGINAL EPITHELIAL-CELLS [J].
HOOTON, TM ;
FENNELL, CL ;
CLARK, AM ;
STAMM, WE .
JOURNAL OF INFECTIOUS DISEASES, 1991, 164 (06) :1216-1219
[8]   CHRONIC PYELONEPHRITIS AS A CAUSE OF END STAGE RENAL-DISEASE [J].
HULAND, H ;
BUSCH, R .
JOURNAL OF UROLOGY, 1982, 127 (04) :642-643
[9]   LONG-TERM PROGNOSIS OF POSTINFECTIOUS RENAL SCARRING IN RELATION TO RADIOLOGICAL FINDINGS IN CHILDHOOD - A 27-YEAR FOLLOW-UP [J].
JACOBSON, SH ;
EKLOF, O ;
LINS, LE ;
WIKSTAD, I ;
WINBERG, J .
PEDIATRIC NEPHROLOGY, 1992, 6 (01) :19-24
[10]  
KININGHAM RB, 1993, AM FAM PHYSICIAN, V47, P1232