〖医学〗尿路感染.ppt

〖医学〗尿路感染_12187尿路感染 Urinary Tract Infection
上海第二医科大学附属瑞金医院
肾脏科
Urinary Tract Infection (UTI)
UTI occurs in all populations, from the neonate to the geriatric patient, but it has a particular impact on :
females of all ages (especially during pregnancy)
males at the two extremes of life
kidney transplant patients
anyone with functional or structural abnormalities of the urinary tract
Urinary Tract Infection (UTI)
upper UTI－pyelonephritis
lower UTI －cystitis
Pyelonephritis
DEFINITION
BACTERIOLOGY
PATHOGENESIS
PATHOLOGY
CLINICAL PRESENTATIONS
DIAGNOSTIC EVALUATION
TREATMENT
DEFINITION
Pyelonephritis means inflammation of the kidney and its pelvis, but from a historical point of view and through common usage, the term has come to designate a disorder of the kidney resulting from bacterial invasion.
Pyelonephritis
DEFINITION
BACTERIOLOGY
PATHOGENESIS
PATHOLOGY
CLINICAL PRESENTATIONS
DIAGNOSTIC EVALUATION
TREATMENT
Bacteriologic Findings Among 250 Outpatients and 150 Inpatients with UTI
Bacterial Species Outpatients (%) Inpatients (%)
Escherichia coli

Klebsiella pneumoniae
Enterococci
Enterobacter aerogenes
Pseudomonas aeruginosa
Serratia marcescens
Staphylococcus epidermidis
Staphylococcus aureus
Fungal Pathogens
The most common form of fungal infection of the urinary tract is caused by Candida species. Most such infection occurs in patients :
with indwelling Foley catheters
receiving broad-spectrum antibacterial therapy
diabetes mellitus
on corticosteroids
Other Pathogens
C. Trachomatis--- important cause of the acute urethral syndrome
U. Urealyticum, --- less common
Adenoviruses--- 1/4~1/2 of hemorrhagic cystitis in school children
Pyelonephritis
DEFINITION
BACTERIOLOGY
PATHOGENESIS
PATHOLOGY
CLINICAL PRESENTATIONS
DIAGNOSTIC EVALUATION
TREATMENT