目的:泌尿系感染的广泛发生和不同的临床表现对个体的健康和生活质量有显著影响。指南小组的目的是为诊断提供循证指导,治疗,和预防尿路感染(UTI)和男性附件腺感染,同时解决与感染控制和抗菌药物管理相关的关键公共卫生问题。
方法:对于2024年泌尿系统感染指南,发现了新的相关证据,整理,并通过对文献的结构化评估进行评估。搜索的数据库包括Medline,EMBASE,和Cochrane图书馆.专家组制定了指南中的建议,以优先考虑临床上重要的护理决策。每个建议的强度是根据替代管理战略的理想和不良后果之间的平衡来确定的,证据的质量(包括估计的确定性),以及患者价值观和偏好的性质和可变性。
■主要建议强调对泌尿系感染患者进行全面病史和体格检查的重要性。该指南强调了抗菌药物管理在应对日益增长的抗菌药物耐药性威胁方面的作用。提供抗生素选择的建议,给药,根据最新证据和持续时间。
结论:2024年EAU指南的概述为管理泌尿系统感染提供了有价值的见解,并旨在有效整合到临床实践中。
结果:欧洲泌尿外科协会发布了关于泌尿外科感染的最新指南。指南提供了诊断建议,治疗,和预防,由于全球抗生素耐药性的威胁日益增加,因此特别关注最大限度地减少抗生素的使用。
OBJECTIVE: Urological infections significantly impact the wellbeing and quality of life of individuals owing to their widespread occurrence and diverse clinical manifestations. The objective of the
guidelines panel was to provide evidence-based guidance on the diagnosis, treatment, and prevention of urinary tract infections (UTIs) and male accessory-gland infections, while addressing crucial public health aspects related to infection control and antimicrobial stewardship.
METHODS: For the 2024 guidelines on urological infections, new and relevant evidence was identified, collated, and appraised via a structured assessment of the literature. Databases searched included Medline, EMBASE, and the Cochrane Libraries. Recommendations within the
guidelines were developed by the panel to prioritise clinically important care decisions. The strength of each recommendation was determined according to a balance between desirable and undesirable consequences of alternative management strategies, the quality of the evidence (including the certainty of estimates), and the nature and variability of patient values and preferences.
UNASSIGNED: Key recommendations emphasise the importance of a thorough medical history and physical examination for patients with urological infections. The
guidelines stress the role of antimicrobial stewardship to combat the rising threat of antimicrobial resistance, providing recommendations for antibiotic selection, dosing, and duration on the basis of the latest evidence.
CONCLUSIONS: This overview of the 2024 EAU
guidelines offers valuable insights into managing urological infections and are designed for effective integration into clinical practice.
RESULTS: The European Association of
Urology has issued an updated
guideline on urological infections. The guidelines provide recommendations for diagnosis, treatment, and prevention, with a particular focus on minimising antibiotic use because of the increasing global threat of antimicrobial resistance.