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UrinaryTractInfection尿路感染全英文;Content;DefinitionofUTI;Anatomic
LowerUTI:
urethritis
cystitis
(mucosalinfection)
UpperUTI:
pyelonephritis
prostatitis
intrarenalandperinephricabscesses
(tissueinvasion);ClassificationofUTIs(2);ClassificationofUTIs(3)
;Epidemiology;Etiology(1);Etiology(2);CASE1
32year-oldwoman;
Dysuriaandfrequency;
Pyuriaintheurinesediment;
Gramnegativebacilli.
Escherichiacoli(E.coli).;CASE3
18year-oldwoman
Dysuriaandfrequency;
Pyuria;
Grampositivecocci;
Staphylococcus.;RouteofInfection;Pathogenesis;Pathogenesis(1);Pathogenesis(2);Conditionsaffectingpathogenesis;Conditionsaffectingpathogenesis(1);Conditionsaffectingpathogenesis(2);Conditionsaffectingpathogenesis(3);Conditionsaffectingpathogenesis(4);Conditionsaffectingpathogenesis(5);Conditionsaffectingpathogenesis(6);Conditionsaffectingpathogenesis(7);Conditionsaffectingpathogenesis;Pathology;Pathology;Pathology;Pathology;ClinicalPresentation;Clinicalpresentation(1);Clinicalpresentation(2);Clinicalpresentation(3);Clinicalpresentation(4);Howisitdiagnosed;MicroscopicExamination;Diagnosis
DipstickMethods;Cleanurineculture:bacterialcounts105/ml
Suprapubicpuncture,cathetercollectedurine102/ml
Significantbacteriuria
Microscopicbacteriuria
;LocalizationofUTI;TreatmentsfordifferenttypesofUTIs;Acuteuncomplicatedcystitis
Pathogens;Single-dosetherapyislesseffective
Especiallywithβ-lactams
3-daycourserecommended
TMP-SMX,fluoroquinolone,nitrofurantoin
NOTappropriateformalepatientsandcomplicatedUTIs
7-daycourse:Diabetes,age65years,Males
Ifuntreated:mayleadtoacuteuncomplicatedpyelonephritistreatment;Acuteuncomplicatedpyelonephritis
Pathogens;Mildormoderatesymptoms:
Outpatienttreatment(7–14days)
Oraltreatment:Fluoroquinolone,TMP/SMX,thirdgenerationcephalosporin
Severeillpatient:
Hospitalizationrequired
Paren
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