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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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