全面了解尿毒症:从病理生理学到精确诊断和管理。

IF 4.6 2区 医学 Q2 IMMUNOLOGY
Frontiers in Cellular and Infection Microbiology Pub Date : 2024-09-24 eCollection Date: 2024-01-01 DOI:10.3389/fcimb.2024.1402941
Swathi Sujith, Adline Princy Solomon, John Bosco Balaguru Rayappan
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引用次数: 0

摘要

尿路感染(UTI)是第二大常见传染病,主要影响女性,全球有 1.5 亿人受到影响。尿路感染的严重程度与宿主因素有关,从急性感染到慢性感染不等。尽管发病率很高,但诊断主要是根据症状、量血标尺分析和培养分析,这些方法费时费力,而且缺乏敏感性和特异性。在此期间,医务人员开出的经验性抗生素可能会增加抗菌素耐药率。及时准确的尿毒症诊断对于解决抗生素耐药性问题和提高整体生活质量至关重要。为了应对这些挑战,新技术不断涌现。本综述全面概述了UTI 的全球负担、相关风险因素、相关微生物、传统和创新诊断方法以及UTI 治疗和预防方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comprehensive insights into UTIs: from pathophysiology to precision diagnosis and management.

Urinary tract infections (UTIs) are the second most common infectious disease, predominantly impacting women with 150 million individuals affected globally. It increases the socio-economic burden of society and is mainly caused by Escherichia coli, Proteus mirabilis, Klebsiella pneumoniae, Enterobacter spp., and Staphylococcus spp. The severity of the infection correlates with the host factors varying from acute to chronic infections. Even with a high incidence rate, the diagnosis is mainly based on the symptoms, dipstick analysis, and culture analysis, which are time-consuming, labour-intensive, and lacking sensitivity and specificity. During this period, medical professionals prescribe empirical antibiotics, which may increase the antimicrobial resistance rate. Timely and precise UTI diagnosis is essential for addressing antibiotic resistance and improving overall quality of life. In response to these challenges, new techniques are emerging. The review provides a comprehensive overview of the global burden of UTIs, associated risk factors, implicated organisms, traditional and innovative diagnostic methods, and approaches to UTI treatment and prevention.

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来源期刊
CiteScore
7.90
自引率
7.00%
发文量
1817
审稿时长
14 weeks
期刊介绍: Frontiers in Cellular and Infection Microbiology is a leading specialty journal, publishing rigorously peer-reviewed research across all pathogenic microorganisms and their interaction with their hosts. Chief Editor Yousef Abu Kwaik, University of Louisville is supported by an outstanding Editorial Board of international experts. This multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide. Frontiers in Cellular and Infection Microbiology includes research on bacteria, fungi, parasites, viruses, endosymbionts, prions and all microbial pathogens as well as the microbiota and its effect on health and disease in various hosts. The research approaches include molecular microbiology, cellular microbiology, gene regulation, proteomics, signal transduction, pathogenic evolution, genomics, structural biology, and virulence factors as well as model hosts. Areas of research to counteract infectious agents by the host include the host innate and adaptive immune responses as well as metabolic restrictions to various pathogenic microorganisms, vaccine design and development against various pathogenic microorganisms, and the mechanisms of antibiotic resistance and its countermeasures.
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