文档介绍：泌尿男生殖系统感染
Genitalia and urinary tract infection of male
一、分类(Classification)
一、非特异感染
the mon bacillus: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,us
二、发病机制(mechanism)
一、感染因素(infection factor)
细菌黏附于尿路黏膜(Bacterial adhesin )
输尿管蠕动减弱( squirm of urethral )
二、宿主防御机制(resist power of host)
PH
Osmosis
High concentration of anic acid
immunoreaction(IgA,IgG)
三、诱发因素
Reduce of immune power with human
Obstruction of urinary tract
Hospital-acquired infection factor
四、感染途径(routes of infection)
上行性感染(ascending route)
血行性感染(hematogenous route)
淋巴感染(lymphatic route)
直接蔓延感染(extend invade route)
五、诊断( diagnosis)
History (pain,frequency,urgency,dysuria)
Urine collection
suprapubic aspiration
urethral catheterization
segmented voided urine specimens
Urinalysis :≥105,infection;<104,pollution
Urine culture
五、诊断( diagnosis)
Localization
kideny,prestate and urethra
Imaging techniques
Uroflowmetry
六、急性膀胱炎(acute cystitis)
Incidence
25% to 30% of women between the ages of 20 and 40
Ascending route
ic bacteria
六、急性膀胱炎(acute cystitis)
Clinical presentation
dysuria
frequency
urgency
suprapubic or lower abdominal pain hematuria
六、急性膀胱炎(acute cystitis)
Diagnosis
examitation:urinary routine
diagnosis
vaginitis
urethral infection