尿路感染
尿路感染
JAMA 2002;287:2701-2710
現病歴が重要
検査後確率を上げる検査はない
ワークアップはするけどね
グラム染色しなさい
S. saprophyticus
性活動の活発な若い女性のUTI 起因菌になるブ菌
効果判定にグラム染色しよう
効果判定に3日待てないなら
菌血症あるなら、14日間の静脈注射
なければ、
キノロン7日 > ST 14日
繰り返していたら、結石がジャマしていたら、21日間の治療
Moxifloxacine
尿に移行しない
CAUTI 1日3%
膀胱炎治療は3日間
紫色の尿… Purple urine bag
腸内細菌
アルカリ尿で多い
急激なUro sepsis
GNR は足が速い
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