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大约20％的晚期肾脏疾病的透析患者有反复发作的上尿路感染史。而且,无症状性菌尿与生命的缩短是相吻合的。因此,诊断和确定肾脏感染引起了内科医生的极大重视。鉴别上、下尿路感染的目的是,判断抗生素治疗时间和病人随访时间的长短以预防肾脏损害。所以,满意的鉴别手段需要百分之百的灵敏性、快速、简便、非侵入性。本文将目前用于上、下尿路感染鉴别诊断的方法作一回顾性总结。
About 20% of dialysis patients with advanced kidney disease have recurrent episodes of upper urinary tract infection. Moreover, asymptomatic bacteriuria is consistent with the shortening of life. Therefore, the diagnosis and identification of kidney infection has drawn great attention of physicians. Identification of upper and lower urinary tract infection is to determine the duration of antibiotic treatment and patient length of follow-up to prevent kidney damage. Therefore, satisfactory authentication means requires 100% sensitivity, fast, easy and non-invasive. This article will now be used for the differential diagnosis of upper and lower urinary tract infection for a retrospective review.