|
Uncomplicated UTI |
Complicated UTI |
Unresolved UTI |
|
因為女性尿道較短，較男性容易得到UTI，所以Uncomplicated UTI是婦女得到的UTI。 |
非一般女性得到的UTI，包含懷孕婦女、男性，還有容易反覆發作的狀況包含「免疫低下」、「先天泌尿道結構異常」、「致病菌具抗藥性」。Complicated UTI的治療效果較差。 |
抗藥性細菌難被殺死，或是Giant staghorn calculi |
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□ Female gender [50%自癒] |
□ Factors suggest a Complicated UTI □ Functional or anatomic abnormality of urinary tract [先天或後天尿路結構異常] □ Male gender [尿道較長] □ Pregnancy [因尿道蠕動下降更容易感染] □ Elderly patient [免疫較差] □ Diabetes [尿糖造成感染] □ Immunosuppression [免疫較差] □ Childhood urinary tract infection [小女孩] □ Recent antimicrobial agents use [抗藥性] □ Indwelling urinary catheter [Catheter-associate] □ Urinary tract instrumentation [同上] □ Hospital-acquired infection [抗藥性] □ Symptoms for more than 7 days at presentation |
□ Antibiotics-resistant bacteria □ Giant staghorn calculi [鹿角結石是UTI引起] |
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需要外科介入的情況 |
|
|
UTI |
Pyelonephritis |
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Source: Campbe-Walsh Urology; Box 12-3 |
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