小结
定义
病史和体格检查
关键诊断因素
- 存在的危险因素
- 排尿困难
- 尿急
- 尿频
- 耻骨弓上疼痛
- 肋脊角痛
其他诊断因素
- 尿等待
- 夜尿
- 前列腺增大
- 前列腺触痛
- 直肠/会阴疼痛
- 发热/寒战
- 尿道分泌物
危险因素
- 良性前列腺增生
- 尿路结石
- 泌尿外科手术，仪器
- 尿道狭窄
- 年龄>50
- 早期泌尿道感染
- 导尿术
- 肛交
- 阴道性交
- 近期住院
- 未进行包皮环切的
诊断性检查
首要检查
- 尿液分析试纸
- 尿显微镜检查
- 尿液培养
- 革兰氏染色
需考虑的检查
- CT 肾脏检查
- 超声
- 肾、输尿管和膀胱（KUB）X 线平片
- 静脉尿路造影（IVU）
治疗流程
在泌尿外科手术操作前无症状性菌尿
不严重并耐受口服药物治疗
严重或不能耐受口服药物治疗
撰稿人
作者
Timothy J. Benton, MD
Regional Chairman
Residency Program Director
Associate Professor
Department of Family and Community Medicine
Texas Tech University Health Sciences Center
Permian Basin Campus
Odessa
TX
利益声明
TJB declares that he has no competing interests.
同行评议者
Catherine DuBeau, MD
Professor of Medicine
Dartmouth Hitchcock Medical Center
Lebanon
NH
利益声明
CD is a member of the American Geriatrics Society Revision Panel for the Beers criteria for potentially inappropriate medications in older persons; planning committee, speaker, and manuscript co-author for the American Urogynecological Association State of the Science on OAB and cognition; and co-investigator, RELIEF trial (botulinum toxin for refractory overactive bladder in older women, funded by PCORI.
Richard Viken, MD
Professor of Family Medicine and Chairman of the Department of Family Medicine
University of Texas Health Sciences Center
Tyler
TX
利益声明
RV declares that he has no competing interests.
Robert Pickard, MD, FRCS (Urol)
Professor of Urology
Institute of Cellular Medicine
Newcastle University
Newcastle upon Tyne
UK
利益声明
RP declares that he has no competing interests.
鉴别诊断
- 良性前列腺增生（BPH）
- 前列腺炎
- 肾盂肾炎
更多 鉴别诊断指南
- 泌尿道感染指南
- 泌尿道感染：初级医疗保健的诊断指导
更多 指南患者教育信息
男性泌尿道感染
更多 患者教育信息
登录或订阅即可浏览 BMJ Best Practice 临床实践完整内容
内容使用需遵循免责声明