Urinary Tract Infection
Urinary Tract Infection
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DOI：
10.1007/978-1-4471-5547-8_35
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发表时间：
2014
期刊：
影响因子：
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通讯作者：
G. Rajakaruna;M. Harber
中科院分区：
文献类型：
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作者：
G. Rajakaruna;M. Harber
复发性、持续性和复杂性尿路感染是一个主要的全球性问题，也是肾病学家面临的重要临床问题。它们是细菌性败血症、住院、急性和慢性肾损伤以及产生多重耐药生物体的重大负担的原因。登记数据表明，7-10%的终末期肾病患者继发于肾盂肾炎，然而，尽管对无并发症的尿路感染的管理有明确的指导，但对持续性和复杂性尿路感染的管理缺乏证据和指导。尽管发病率和患病率的问题，尿脓毒症是一个真正被忽视的问题，病人往往接受次优的管理。鉴于肾脏病患者发生UTI的频率以及UTI对AKI和CKD的影响，肾脏病学家真实的需要支持复杂UTI的质量管理。在本章中，我们将介绍UTI的流行病学、病因和类型，复杂UTI的一些陷阱，以及为复发或复杂UTI患者提供高质量护理的一些机会。
Recurrent, persistent, and complicated urinary tract infections are a major global problem and a significant clinical issue for nephrologists. They are responsible for a substantial burden of bacterial sepsis, hospital admissions, acute and chronic kidney injury, as well as the generation of multi-resistant organisms. Registry data suggests that 7–10% of patients with end-stage renal disease is secondary to pyelonephritis, yet while there is clear guidance on the management of uncomplicated UTIs, there is a striking paucity of evidence and hence guidance on the management of persistent and complicated urinary tract infections. Despite the incidence and prevalence of the problem, urosepsis is a really neglected subject with patients often receiving suboptimal management. Given the frequency with which renal patients incur UTIs and the impact of UTI in terms of AKI and CKD, there is a real need for nephrologists to champion quality management of complicated UTIs.In this chapter we cover the epidemiology, causes and types of UTI, some of the pitfalls of complicated UTIs, and some of the opportunities in providing high-quality care for patients with recurrent or complicated UTIs.