Interpretation of key points from the "EAU guidelines on urological infections (2023)"

LIU Changsheng; XU Zhijie

doi:10.16766/j.cnki.issn.1674-4152.003532

Volume 22 Issue 6

Jun. 2024

Turn off MathJax

Article Contents

Article Navigation > Chinese Journal of General Practice > 2024 > 22(6): 907-914

LIU Changsheng, XU Zhijie. Interpretation of key points from the 'EAU guidelines on urological infections (2023)'[J]. Chinese Journal of General Practice, 2024, 22(6): 907-914. doi: 10.16766/j.cnki.issn.1674-4152.003532

Citation:

LIU Changsheng, XU Zhijie. Interpretation of key points from the "EAU guidelines on urological infections (2023)"[J]. Chinese Journal of General Practice, 2024, 22(6): 907-914. doi: 10.16766/j.cnki.issn.1674-4152.003532

Citation:

PDF( 494 KB)

Interpretation of key points from the "EAU guidelines on urological infections (2023)"

doi: 10.16766/j.cnki.issn.1674-4152.003532

LIU Changsheng
, XU Zhijie^,

Department of General Practice, the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang 310009, China

Received Date: 2024-03-03
Available Online: 2024-07-22

Abstract

Abstract

Urinary system infections are common in clinical practice, especially in the female population with a high incidence. However, there is no unified standard for clinical diagnosis, classification, and treatment, leading to inconsistencies, even within internal medicine and surgery textbooks. In March 2023, The European Association of Urology (EAU) published the latest guidelines on urologic infections. Compared with the 2022 version, the prevention of recurrent urinary tract infections, perioperative antibiotic prophylaxis, and prostate biopsy have been updated in the 2023 version of the guideline, and new contents of genitourinary tuberculosis had been added. This article interprets the relevant contents of urinary tract infection from the new guidelines to provide evidence-based instructions for general practitioners on the diagnosis, treatment, and standardized management of urinary tract infection.
- Urinary tract infection,
- Asymptomatic bacteriuria in adults,
- Cystitis,
- Pyelonephritis,
- Urosepsis,
- Urethritis

FullText(HTML)

References(20)

References

[1]	GREY B, UPTON M, JOSHI L T. Urinary tract infections: a review of the current diagnostics landscape[J]. J Med Microbiol, 2023, 72(11). DOI: 10.1099/jmm.0.001780.
[2]	BILSEN M P, JONGENEEL R M H, SCHNEEBERGER C, et al. Definitions of urinary tract infection in current research: a systematic review[J]. Open Forum Infect Dis, 2023, 10(7): ofad332. DOI: 10.1093/ofid/ofad332.
[3]	European Association of Urology. EAU guidelines on urological infections 2023[EB/OL]. (2023-03-07)[2023-12-25]. https://d56bochluxqnz.cloudfront.net/documents/full-guideline/EAU-Guidelines-on-Urological-infections-2023.pdf.
[4]	HENDERSON J T, WEBBER E M, BEAN S I. Screening for asymptomatic bacteriuria in adults: updated evidence report and systematic review for the US preventive services task force[J]. JAMA, 2019, 322(12): 1195-1205. doi: 10.1001/jama.2019.10060
[5]	KRINITSKI D, KASINA R, KLOPPEL S, et al. Associations of delirium with urinary tract infections and asymptomatic bacteriuria in adults aged 65 and older: a systematic review and meta-analysis[J]. J Am Geriatr Soc, 2021, 69(11): 3312-3323. doi: 10.1111/jgs.17418
[6]	KRANZ J, LACKNER J, KUNZEL U, et al. Original Article phytotherapy in adults with recurrent uncomplicated cystitis[J]. Dtsch Arztebl Int, 2022, 119(20): 353-360.
[7]	KIM DK, KIM J H, LEE J Y, et al. Reappraisal of the treatment duration of antibiotic regimens for acute uncomplicated cystitis in adult women: a systematic review and network meta-analysis of 61 randomised clinical trials[J]. Lancet Infect Dis, 2020, 20(9): 1080-1088. doi: 10.1016/S1473-3099(20)30121-3
[8]	PECK J, SHEPHERD J P. Recurrent urinary tract infections: diagnosis, treatment, and prevention[J]. Obstet Gynecol Clin North Am, 2021, 48(3): 501-513. doi: 10.1016/j.ogc.2021.05.005
[9]	俞慧琴, 李瑞鹏, 诸靖宇. 输尿管结石患者经输尿管软镜取石术后发生院内感染的危险因素及预防措施[J]. 中华全科医学, 2019, 17(2): 303-305, 320. doi: 10.16766/j.cnki.issn.1674-4152.000667 YU H Q, LI R P, ZHU J Y. Risk factors and preventive measures of nosocomial infection in patients with ureteral calculi after flexible ureteroscopic lithotripsy[J]. Chinese Journal of General Practice, 2019, 17(2): 303-305, 320. doi: 10.16766/j.cnki.issn.1674-4152.000667
[10]	PIGRAU C, ESCOLA-VERGE L. Recurrent urinary tract infections: from pathogenesis to prevention[J]. Med Clin (Barc), 2020, 155(4): 171-177. doi: 10.1016/j.medcli.2020.04.026
[11]	ZIMMERMAN D E, TOMAS M, MILLER D, et al. Cephalosporins for the treatment of uncomplicated pyelonephritis: a systematic review[J]. J Am Pharm Assoc (2003), 2023, 63(5): 1461-1471. doi: 10.1016/j.japh.2023.06.028
[12]	SHIGEMURA K, ISHIKAWA K. AAUS guideline for acute uncomplicated pyelonephritis[J]. J Infect Chemother, 2022, 28(8): 1092-1097. doi: 10.1016/j.jiac.2022.05.008
[13]	WAGENLEHNER F M E, BJERKLUND JOHANSEN T E, CAI T, et al. Epidemiology, definition and treatment of complicated urinary tract infections[J]. Nat Rev Urol, 2020, 17(10): 586-600. doi: 10.1038/s41585-020-0362-4
[14]	HUNG K C, TSAI W W, HSU C W, et al. Clinical efficacy and safety of novel antibiotics for complicated urinary tract infection: a systematic review and meta-analysis of randomized controlled trials[J]. Int J Antimicrob Agents, 2023, 62(1): 106830. DOI: 10.1016/j.ijantimicag.2023.106830.
[15]	KRANZ J, SCHMIDT S, WAGENLEHNER F, et al. Catheter-associated urinary tract infections in adult patients[J]. Dtsch Arztebl Int, 2020, 117(6): 83-88.
[16]	FLORES-MIRELES A, HREHA T N, HUNSTAD D A. Pathophysiology, treatment, and prevention of catheter-associated urinary tract infection[J]. Top Spinal Cord Inj Rehabil, 2019, 25(3): 228-240. doi: 10.1310/sci2503-228
[17]	RADU V D, COSTACHE R C, ONOFREI P, et al. Factors associated with increased risk of urosepsis during pregnancy and treatment outcomes, in a urology clinic[J]. Medicina (Kaunas), 2023, 59(11): 1972. DOI: 10.3390/medicina59111972.
[18]	GULICIUC M, MAIER A C, MAIER I M, et al. The urosepsis: a literature review[J]. Medicina (Kaunas), 2021, 57(9): 872. DOI: 10.3390/medicina57090872.
[19]	SELL J, NASIR M, COURCHESNE C. Urethritis: rapid evidence review[J]. Am Fam Physician, 2021, 103(9): 553-558.
[20]	SARIER M, KUKUL E. Classification of non-gonococcal urethritis: a review[J]. Int Urol Nephrol, 2019, 51(6): 901-907. doi: 10.1007/s11255-019-02140-2

Relative Articles

Supplements(0)

Cited By

Proportional views

Proportional views

通讯作者: 陈斌, bchen63@163.com

1.
沈阳化工大学材料科学与工程学院沈阳 110142

Tables(3)

Get Citation

PDF

XML

Article Metrics

Article views (653) PDF downloads(33)

Interpretation of key points from the "EAU guidelines on urological infections (2023)"

doi: 10.16766/j.cnki.issn.1674-4152.003532

Abstract

References

Proportional views

Catalog

通讯作者: 陈斌, bchen63@163.com

Article Metrics

Proportional views

Related

Interpretation of key points from the "EAU guidelines on urological infections (2023)"

doi: 10.16766/j.cnki.issn.1674-4152.003532

Abstract

References

Proportional views

Catalog

通讯作者: 陈斌, bchen63@163.com

Article Metrics

Proportional views

Related

Export File

Citation

Format

Content