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男性泌尿道感染

最后审阅: 10 Nov 2024
最后更新: 17 Nov 2022

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
完整详情

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
完整详情

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
完整详情

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
完整详情

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)
完整详情

治疗流程

初步治疗

在泌尿外科手术操作前无症状性菌尿

急症处理

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
Timothy J. Benton

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.

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