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題 名 | Complicated Urinary Tract Infection: Analysis of 179 Patients=複雜性尿路感染:179病例分析 |
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作 者 | 陳修聖; 陳光國; 林登龍; 張延驊; 吳宏豪; 徐慧興; 邱文祥; 張心湜; | 書刊名 | 中華醫學雜誌 |
卷 期 | 61:11 1998.11[民87.11] |
頁 次 | 頁651-656 |
分類號 | 415.845 |
關鍵詞 | 複雜性尿路感染; 發生率; 處理; 預後; Complicated urinary tract infection; Incidence; Management; Outcome; |
語 文 | 英文(English) |
中文摘要 | 背景 為研究複雜性尿路感染的發生率、細菌學、處理及預後,我們做了一個回 顧性的病例分析。 方法 從1993年6月至1994年7月,共2,566位病人住進台北榮民總醫院泌尿科,其 中1,322位良性攝護腺肥大,607位腎結石,496位輸尿管結石,75位膀胱移形性上皮癌,47 位腎腫瘤,19位輸尿管移形性上皮癌。2,566位病人中,179位(6.98%)有複雜性尿路感染, 包括81位良性攝護腺肥大,46位腎結石,42位輸尿管結石,5位膀胱移形性上皮癌,3位 腎腺腫瘤,2位輸尿管移形性上皮癌。 結果 在179位有複雜性尿路感染的病例中,155位是男性,24位是女性。細菌培養陽 性率為76%(136/179),其中最常見的細菌為Escherichia coli、Proteus mirabills和Pseudomonas aeruginosa。治療原則是靜注抗生素和必要時尿液引流(如經皮穿腎造 、放置導尿管等)。因 複雜性尿路感染造成的死亡率為3.9%(7/179)。 結論 複雜性尿路感染經早期診斷及治療後,預後良好。 |
英文摘要 | Background. The aim of our study was to investigate the incidence, bacteriology, management and outcome of complicated urinary tract infections (UTIs ) at the Veterans General Hospital-Taipei. Methods. Between June, 1993, and July, 1994, medical records of 2,566 patients admitted to the Division of Urology, Veterans General Hospital-Taipei, were retrospectively reviewed. Of these patient, 1,322 had a diagnosis of benign prostatic hyperplasia (BPH, 607 were admitted for renal stones, 496 for ureteral stones, 75 for transitional cell carcinoma (TCC) of the urinary bladder, 47 for renal tumors and 19 for TCC of the ureter. Among all patients studied, 179 (6.98%) acquired a complicated UTI. Of these, 81 were admitted for BPH, 46 for renal stones, 42 for ureteral stones, five for Tcc of the urinary bladder, three for renal tumors and two for TCC of the ureter. Results. Of the 179 patients with complicated UTIs , 155 were men and 24 were women. The urine culture positive rate was 76.0% (136/179) and the most common bacteria were Escherichia coli, Proteus mirabilis and Pseudomonas aeruginosa. The principle mode of treatment included parenteral antibiotics and urinary diversion (percutaneous nephrostomy and Foley catheterization), when necessary. The infection control rate for these complicated UTIs was 96.3% for BPH, 95.5% for renal stone, 97.6% for ureteral stone, 80% for TCC of the urinary bladder, 100% for renal tumor and 100% for TCC of the ureter. Mortality due to complicated UTI was 3.9% (7/179). Conclusions. We concluded that the prognosis of complicated UTI is good if diagnosis and appropriate treatment are given promptly. Early drainage to relieve obstruction and intravenous antibiotics are initially necessary. Surgical intervention is required to resolve functional or structural abnormalities after the UTI has been controlled. |
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