外科男性泌尿生殖感染课件

外科男性泌尿生殖感染课件

ID:19627898

大小:1.47 MB

页数:49页

时间:2018-10-04

外科男性泌尿生殖感染课件_第1页
外科男性泌尿生殖感染课件_第2页
外科男性泌尿生殖感染课件_第3页
外科男性泌尿生殖感染课件_第4页
外科男性泌尿生殖感染课件_第5页
资源描述:

《外科男性泌尿生殖感染课件》由会员上传分享,免费在线阅读,更多相关内容在教育资源-天天文库

1、InfectionofGUTIntroductionDefinitionPathogenstayandgrowinanypartofGUTcausinginfection.BacteriuriaPyuriaBacteriuriawithoutpyuriaindicatesbacterialcolonizationratherthaninfection.Pyuriawithoutbacteriuriawarrantsevaluationfortuberculosis,stones,orcancer.DefensesysteminGUTNormalflorastay

2、inmeatalskinandmucosaofurethra,secretebacteriocin,metabolicproducts,tosuppressthegrowthofpathogen,competenutrientsUrotheliumsecretemucinpreventingbacteriaadhesionAnti-refluxmechanismPredisposingfactorsObstructive:asstones,tumor,stricture,BPHPredisposingfactorsBodyresistance,hypertens

3、ion,diabetes,pregnancyIatrogenic:catherterization,cystoscopyRenalparenchymadiseases:renalinjury,renalfailure,interstitialnephritisAnatomical:femaleurethraRoutesofinfectionAscendingrouteHematogenousrouteLymphaticrouteDirectextensionPathogenGram-negative:85%EscherichiacoliGram-positive

4、:StaphylococcusaureusChlamydiaMycoplasmaDiagnosisClinicalfeaturesLaboratoryinvestigationurinebacterialcultureandcolonycounting:>105/mlUrinecollectionSuprapubicaspirationUrethralcatheterizationSegmentedvoidedurinespecimensMidstreamvoidedurinespecimensLocalizationUreteralcatheterizatio

5、nFairleybladderwashouttestImmunologyresponsesDirectagglutinationtestsPassiveagglutinationtestsAntibody-coatedbacteriaPyelonephritiswerefluorescentantibody-positivecystitiswerenotantibody-coatedEnzyme-linkedimmunosorbentassaysandradioimmunoassayforimmunoglobulinsImmunoglobulinresponse

6、inpyelonephritisImagingtechniquesPlainfilmoftheabdomenIntravenousurogram(IVU)UltrasonographyComputerTomography(CT)PrinciplesoftreatmentSelectsensitiveantibioticsUseatleasttwokindsofsensitiveantibioticstoavoidproductionofdrugresistantstrainUsefulldoseasearlyaspossibleAdministerlowerne

7、phrotoxinantibioticsDurationoftherapyAcutepyelonephrosisClinicalpresentationchills,fever,flankpain,andunilateralorbilateralcostovertebralangletendernessdysuria,increasedurinaryfrequencyandurgencyphysicalexaminationtendernesstodeeppalpationinthecostovertebralangleabdominalpain,nausea,

8、vomiting,dia

当前文档最多预览五页,下载文档查看全文

此文档下载收益归作者所有

当前文档最多预览五页,下载文档查看全文
温馨提示:
1. 部分包含数学公式或PPT动画的文件,查看预览时可能会显示错乱或异常,文件下载后无此问题,请放心下载。
2. 本文档由用户上传,版权归属用户,天天文库负责整理代发布。如果您对本文档版权有争议请及时联系客服。
3. 下载前请仔细阅读文档内容,确认文档内容符合您的需求后进行下载,若出现内容与标题不符可向本站投诉处理。
4. 下载文档时可能由于网络波动等原因无法下载或下载错误,付费完成后未能成功下载的用户请联系客服处理。