Complications and treatment of urinary tract infections during pregnancy.
Complications and treatment of urinary tract infections during pregnancy.
复制标题
妊娠期尿路感染的并发症和治疗。
DOI：
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发表时间：
1986
影响因子：
2.4
通讯作者：
J. Krieger
中科院分区：
文献类型：
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作者：
J. Krieger
怀孕期间的菌尿可能会导致严重的并发症，包括在妊娠晚期发展为急性肾盂肾炎和早产。由于未感染的妇女通常会出现与尿路感染相关的症状，而许多细菌尿症妇女是没有症状的，所以所有孕妇都应该通过定量尿液培养进行筛查。抗菌治疗的目标是彻底消除尿路中的细菌。完整的泌尿学评估的主要指征是，有急性上尿路感染症状的患者在最初对尿液进行消毒后，未能改善适当的治疗和细菌持久性。这两个问题都可能需要手术干预。
Bacteriuria during pregnancy may result in serious complications, including development of acute pyelonephritis in the third trimester and premature labor. Because uninfected women commonly experience symptoms associated with urinary tract infections and many bacteriuric women are asymptomatic, all pregnant women should be screened by quantitative urine cultures. The goal of antimicrobial therapy is complete elimination of bacteria from the urinary tract. Major indications for complete urologic evaluation are failure of a patient with signs of acute upper-tract infection to improve on appropriate treatment and bacterial persistence after initial sterilization of the urine. Either problem may require surgical intervention.