{"title":"老年人复杂的尿路感染。","authors":"I Ćosić, V Ćosić","doi":"","DOIUrl":null,"url":null,"abstract":"<p><p>Urinary tract infections (UTI) are the most common bacterial infections involving lower (cystitis, prostatitis) or upper\n(pyelonephritis, renal abscess, perinephric abscess) urinary tract. Differentiation of complicated and uncomplicated UTI\nis usually based on the presence of structural or functional urinary tract abnormalities, which can increase the risk of\ntreatment failure and development of serious complications. Factors that increase the risk are foreign bodies, stones,\nobstruction, neurogenic bladder, kidney transplantation, immunosuppression, and pregnancy. Complicated UTI includes a\nspectrum of conditions that increase the risk of treatment failure, as well as of serious complications such as bacteremia\nand sepsis, perinephric abscess, renal impairment and emphysematous pyelonephritis. To avoid the potentially devastating\noutcomes, appropriate diagnostic procedures, antibiotic and surgical treatment, and appropriate follow-up are required.\nThe incidence of complicated UTI will grow in the future due to general aging of the population, increasing incidence of\ndiabetes, and ever growing number of immunocompromised and immunosuppressed patients. It is of key importance to\nrecognize complicated UTI on time, and treat it wisely and aggressively to reduce duration of the disease and the risk of\nantibiotic resistance.</p>","PeriodicalId":35756,"journal":{"name":"Acta Medica Croatica","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[COMPLICATED URINARY TRACT INFECTIONS IN THE ELDERLY].\",\"authors\":\"I Ćosić, V Ćosić\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Urinary tract infections (UTI) are the most common bacterial infections involving lower (cystitis, prostatitis) or upper\\n(pyelonephritis, renal abscess, perinephric abscess) urinary tract. Differentiation of complicated and uncomplicated UTI\\nis usually based on the presence of structural or functional urinary tract abnormalities, which can increase the risk of\\ntreatment failure and development of serious complications. Factors that increase the risk are foreign bodies, stones,\\nobstruction, neurogenic bladder, kidney transplantation, immunosuppression, and pregnancy. Complicated UTI includes a\\nspectrum of conditions that increase the risk of treatment failure, as well as of serious complications such as bacteremia\\nand sepsis, perinephric abscess, renal impairment and emphysematous pyelonephritis. To avoid the potentially devastating\\noutcomes, appropriate diagnostic procedures, antibiotic and surgical treatment, and appropriate follow-up are required.\\nThe incidence of complicated UTI will grow in the future due to general aging of the population, increasing incidence of\\ndiabetes, and ever growing number of immunocompromised and immunosuppressed patients. It is of key importance to\\nrecognize complicated UTI on time, and treat it wisely and aggressively to reduce duration of the disease and the risk of\\nantibiotic resistance.</p>\",\"PeriodicalId\":35756,\"journal\":{\"name\":\"Acta Medica Croatica\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2016-12-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Acta Medica Croatica\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Acta Medica Croatica","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
[COMPLICATED URINARY TRACT INFECTIONS IN THE ELDERLY].
Urinary tract infections (UTI) are the most common bacterial infections involving lower (cystitis, prostatitis) or upper
(pyelonephritis, renal abscess, perinephric abscess) urinary tract. Differentiation of complicated and uncomplicated UTI
is usually based on the presence of structural or functional urinary tract abnormalities, which can increase the risk of
treatment failure and development of serious complications. Factors that increase the risk are foreign bodies, stones,
obstruction, neurogenic bladder, kidney transplantation, immunosuppression, and pregnancy. Complicated UTI includes a
spectrum of conditions that increase the risk of treatment failure, as well as of serious complications such as bacteremia
and sepsis, perinephric abscess, renal impairment and emphysematous pyelonephritis. To avoid the potentially devastating
outcomes, appropriate diagnostic procedures, antibiotic and surgical treatment, and appropriate follow-up are required.
The incidence of complicated UTI will grow in the future due to general aging of the population, increasing incidence of
diabetes, and ever growing number of immunocompromised and immunosuppressed patients. It is of key importance to
recognize complicated UTI on time, and treat it wisely and aggressively to reduce duration of the disease and the risk of
antibiotic resistance.
期刊介绍:
ACTA MEDICA CROATICA publishes original contributions to medical sciences, that have not been previously published. All manuscripts should be written in English.