尿路感染中大12课件.pptx

1、*中山一院 30196普查女性结果CASE 1 A 32 year-old woman complains of dysuria and frequency;pyuria is seen in the urine sediment.Gram stain of unspun urine(x1000)shows an inflammatory cell and numerous Gram negative bacilli.Escherichia coli grew from this specimen.CASE 2 A 65 year-old woman complains of dysuria

2、and frequency;pyuria is seen in the urine sediment.Gram stain of unspun urine(x1000)shows inflammatory cells and Gram positive cocci in chains.Enterococcus faecalis grew from this specimen.CASE 3 An 18 year-old woman complains of dysuria and frequency;pyuria is seen in the urine sediment.Gram stain

3、of unspun urine(x1000)shows inflammatory cells and Gram positive cocci in pairs and clusters.Staphylococcus saprophyticus(腐生)grew from this specimen.CASE 4 This specimen was obtained from a 42 year-old diabetic woman with a Foley catheter.Gram stain of unspun urine(x1000)shows Gram positive budding

4、yeasts and large pseudohyphae.Candida albicans grew from this specimen.有无 治疗原则治疗原则 疗效评定标准疗效评定标准Drug,dose Dose and interval DurationLevofloxacin 250 mg q 24 hours 3 daysCiprofloxacin 100 to 250 mg q 12 hours 3 days or 500 mg q 24 hours 3 daysTrimethoprim-160/800 mg q 12 hours 3 daysSulfamethoxazoleTr

5、imethoprim 100 mg q 12 hours 3 daysCefpodoxime proxetil（头孢泊肟酯）100 mg q 12 hours 3-7 daysNitrofurantoin macrocystals 50 mg q 6 hours 7 daysNitrofurantoin monohydrate 100 mg q 12 hours 7 days macrocystals(Macrobid)Amoxicillin/clavulanate 500 mg q 12 hours 7 daysSelected oral antimicrobial regimens for use in acute uncomplicated cystitis 耐药性问题！治疗有效治疗有效常再发者p 经常不断地学习,你就什么都知道。你知道得越多,你就越有力量p Study Constantly,And You Will Know Everything.The More You Know,The More Powerful You Will Be写在最后感谢聆听不足之处请大家批评指导Please Criticize And Guide The Shortcomings结束语讲师：XXXXXX XX年XX月XX日