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Therapie der akuten unkomplizierten Harnweginfektion

Therapy of the acute uncomplicated urinary tract infection

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Zusammenfassung

Die akute unkomplizierte Zystitis und die akute unkomplizierte Pyelonephritis stellen zwei häufige Harnweginfektionen (HWI) bei prämenopausalen, ansonsten gesunden Frauen dar. Neuere Untersuchungen belegen, dass die Inzidenz dieser Infektionen höher als erwartet ist. Umfragen zu Gesundheitspraktiken in Nordamerika zeigten eine hohe Variabilität in der Therapie von unkomplizierten HWI. Standardisierte Kriterien für die Diagnose und Therapie unkomplizierter HWI sind deshalb wichtig, um eine ausreichende Sensitivität und Spezifität im klinischen Alltag zu erreichen. Die „Infectious Diseases Society of America“ (IDSA) entwickelte evidenzbasierte Leitlinien für die antibiotische Behandlung von akuter unkomplizierter Zystitis und akuter unkomplizierter Pyelonephritis, die von anderen Expertengremien mit der aktuellen Studienlage abgeglichen wurden.

Abstract

Acute uncomplicated cystitis and acute uncomplicated pyelonephritis are two frequently encountered urinary tract infections (UTI) in premenopausal, healthy females. Recent epidemiological investigations showed that the incidence of these infections is higher than expected. Surveys on healthcare practices in North America revealed a high variability in the therapy of uncomplicated UTI. Standardized criteria for diagnosis and therapy of uncomplicated UTIs therefore are important in order to achieve sufficient sensitivity and specificity in clinical practice. The Infectious Diseases Society of America (IDSA) developed evidence-based guidelines for the treatment of acute uncomplicated cystitis and acute uncomplicated pyelonephritis, which were recently updated by other expert groups.

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Authors and Affiliations

  1. Urologische Klinik, Klinikum St. Elisabeth, Straubing

    K. G. Naber

  2. Klinik für Frauenheilkunde und Geburtshilfe, Klinikum Erfurt

    U. Hoyme

  3. Urologische Klinik, Klinikum St. Elisabeth, St.-Elisabeth-Straße 23, 94315, Straubing

    F. M. E. Wagenlehner

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  1. F. M. E. Wagenlehner
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  2. U. Hoyme
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  3. K. G. Naber
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Correspondence to F. M. E. Wagenlehner.

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Wagenlehner, F.M.E., Hoyme, U. & Naber, K.G. Therapie der akuten unkomplizierten Harnweginfektion. Urologe 45, 429–435 (2006). https://doi.org/10.1007/s00120-006-1022-x

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