A practical guide to antimicrobial management of complicated urinary tract infection.
Complicated urinary tract infection occurs in the setting of a functionally or structurally abnormal genitourinary tract. Many different abnormalities may lead to a designation of complicated urinary tract infection, and these abnormalities will have different influences on the frequency of infectio...
| Publicado en: | Drugs & Aging Vol. 18; no. 4; pp. 243 - 255 |
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| Autor principal: | |
| Formato: | review tables/charts Journal Article |
| Publicado: |
Springer Nature
2001
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106829909&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106829909 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 1170229X C5B jtl: Drugs & Aging issn: 1170229X maglogo: N pubinfo: dt: 2001 vid: 18 iid: 4 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 106829909 2003063423 10.2165/00002512-200118040-00002 NLM11341472 106829909 ppf: 243 ppct: 12 formats: fmt: @attributes: type: P tig: atl: A practical guide to antimicrobial management of complicated urinary tract infection. aug: au: Nicolle LE affil: Department of Internal Medicine, University of Manitoba, Health Sciences Centre, GC430-820 Sherbrook Street, Winnipeg, MB R3A 1R9, Canada; lnicolle@hsc.mb.ca sug: subj: Antibiotics Therapeutic Use Urinary Tract Infections Complications Urinary Tract Infections Drug Therapy Diabetes Mellitus Complications Renal Insufficiency Complications Mycoses Complications Treatment Outcomes Urinary Catheterization Adverse Effects Urinary Tract Infections Diagnosis Urinary Tract Infections Microbiology Urinary Tract Infections Physiopathology ab: Complicated urinary tract infection occurs in the setting of a functionally or structurally abnormal genitourinary tract. Many different abnormalities may lead to a designation of complicated urinary tract infection, and these abnormalities will have different influences on the frequency of infection and likelihood of relapse or reinfection. The microbiology of complicated urinary tract infection is characterised by a greater variety of organisms and increased likelihood of antimicrobial resistance compared with acute uncomplicated urinary tract infection. Appropriate management requires a urine specimen for culture prior to institution of antimicrobial therapy, and ensuring that the underlying abnormality is fully characterised to determine whether it can be corrected. A wide variety of antimicrobial agents are effective for treatment, and are usually given for 7 to 14 days. If the underlying abnormality can be corrected, subsequent infections may be prevented. However, if the underlying abnormality cannot be corrected a high recurrence rate of infection, approaching 50% by 4 to 6 weeks, is expected. Further study of complicated urinary tract infection is necessary, including determination of when asymptomatic bacteriuria warrants treatment, and exploration of nonantimicrobial approaches to management. pubtype: Academic Journal doctype: review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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