尿路感染演示教学.ppt

Prevention Drink more water Personal hygiene: pudendum cleaning for female pts, redundant prepuce cleaning for male pts. Avoiding using instruments as possible, and strictly following aseptic manipulation if necessary. Vesicoureteral reflux: To establish a habit that void once again. Prevention Women with frequent symptmatic UTIs (?3 per yr): Long term administration of low-dose Abs Avoid spermicide use void soon after intercourse recurrent UTIs related to intercourse: The same regimens as above can be used after sexual intercourse. Thanks！ Take lessons about UTI * Dysuria, frequency, urgency Be defined as, classified, indicated * Very common. 30196普查女性结果 * UTIs appear to remain common throughout a womans life In a report of girls who were followed from their first known infection in childhood into adulthood (and who may have represented a selected group at higher risk for UTI than the general population), the incidence of acute cystitis dropped to low levels, increased to approximately 0.5 episodes per year during their late teens and early twenties (presumably due to sexual activity), and then dropped to approximately 0.1 episodes per year in their early thirties * Why is common infection. First we focus on the etiology. As we know, many different microorganisms衣原体、支原体等 腐物寄生葡萄球菌 * These are some examples. * Introitus:entrance * 唇 * Inhibit or kill bactria * * WBC脂酶试纸阳性; sterile The most accurate method for assessing pyuria is to examine an unspun voided midstream urine specimen with a simple hemocytometer; 10 or more leukocytes per microL are considered abnormal * make sense * The most accurate method for assessing pyuria is to examine an unspun voided midstream urine specimen with a simple hemocytometer; 10 or more leukocytes per microL are considered abnormal wet mount or Grams stain 浸试条法:白细胞酯酶 * * * 绿脓杆菌、变形杆菌、粪链球菌； * 发现皮质瘢痕及肾盂肾盏变形或不对称 肾脏缩小 * acute urethral syndrome Azithromycin〖中文通用名〗阿奇霉素 * 1.a quantitative urine cul