泌尿男生殖系统感染ppt课件.ppt

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1、泌尿男生殖系统感染Genitaliaandurinarytractinfectionofmale1一、分类(Classification)一、非特异感染themostcommonbacillus:G-大肠杆菌（60-80%），副大肠杆菌，变形杆菌，克雷白菌G+:金黄色葡萄球菌，表皮葡萄球菌，链球菌，粪链球菌二、特异性感染tuberculosis，gonococcus2二、发病机制（mechanism）一、感染因素（infectionfactor)细菌黏附于尿路黏膜（Bacterialadhesin）输尿管蠕动减弱

2、（squirmofurethral）二、宿主防御机制（resistpowerofhost）PHOsmosisHighconcentrationofureaorganicacidimmunoreaction(IgA,IgG)3三、诱发因素ReduceofimmunepowerwithhumanObstructionofurinarytractHospital-acquiredinfectionfactor4四、感染途径（routesofinfection）上行性感染(ascendingroute)血行性感染(hem

3、atogenousroute)淋巴感染(lymphaticroute)直接蔓延感染(extendinvaderoute)5五、诊断（diagnosis）History(pain,frequency,urgency,dysuria)UrinecollectionsuprapubicaspirationurethralcatheterizationsegmentedvoidedurinespecimensUrinalysis：≥105,infection;<104,pollutionUrineculture6五、诊断

4、（diagnosis）Localizationkideny,prestateandurethraImagingtechniquesUroflowmetry7六、急性膀胱炎(acutecystitis)Incidence25%to30%ofwomenbetweentheagesof20and40AscendingrouteNosogeneticbacteria8六、急性膀胱炎(acutecystitis)Clinicalpresentationdysuriafrequencyurgencysuprapubicorl

5、owerabdominalpainhematuria9六、急性膀胱炎(acutecystitis)Diagnosis1.History2.Laboratoryexamitation:urinaryroutine3.Differentialdiagnosisvaginitisurethralinfection10六、急性膀胱炎(acutecystitis)ManagementAntimicrobialselectionIntakewithlargevolumewater11七、慢性前列腺炎(chronicprost

6、atitis)Classificationacutebacterialprostatitischronicbacterialprostatitisnonbacterialprostatitisprostatodynia12七、慢性前列腺炎(chronicprostatitis)Etiologyandpathogenesis1.ascendingurethralinfectionorrefluxofurineintoproststicduct2.gram-negativebacteria3.NBP4.prostat

7、odynia13七、慢性前列腺炎(chronicprostatitis)Clinicalpresentation1.Irritativesymptoms2.Pain(vesical,prostate,penile,testis)3.Erectiledysfunction4.strain14七、慢性前列腺炎(chronicprostatitis)Diagnosis1.Clinicalpresentation2.Rectalexamination3.Ultrsound4.Examinationoftheexpress

8、edprostaticsecretions(EPS)andbacteriologicculture15七、慢性前列腺炎(chronicprostatitis)Treatment1.Antibiologytreatment2.α-receiptblockage3.Prostaticexpressate4.Finehealthhabit16八、肾结核(Tuberculosis