抗生素對長期或間歇使用尿路導管之無症狀尿路感染病人是否有好處？
林皇甫1,邱逸淳1,2,3
臺北市立聯合醫院忠孝院區 外科部 泌尿外科1, 臺北市立聯合醫院仁愛院區 外科部 泌尿外科2, 國立陽明大學 醫學院泌尿學科3
Is it any benefit to patients using indwelling or intermittent catheterization of the bladder unless there are signs and symptoms of urinary tract infection?
Huang-Fu Lin1, Yi-Chun Chiu1, 2, 3
1 Division of Urology, Department of Surgery, Zhongxiao Branch, Taipei City Hospital, 2Division of Urology, Department of Surgery, Renai Branch, Taipei City Hospital, 3 Department of Urology, School of Medicine, National Yang-Ming University, Taipei, Taiwan
Purpose: Antibiotics in the absence of signs and symptoms (which may include fever; altered mental status or malaise with no other cause; flank or pelvic pain; flank or suprapubic tenderness; hematuria; dysuria, urinary urgency or frequency; and, in spinal cord injury patients, increased spasticity, autonomic dysreflexia or sense of unease) is not efficacious and risks inducing resistance to antimicrobials. This applies to both indwelling and intermittent catheterization of the bladder. The major exception is patients needing periprocedural antimicrobials. Additionally, initial placement of a suprapubic tube requires a skin puncture or incision and therefore antibiotics should be considered.
Materials and Methods: We reviewd the paper from AUA articles. The keywords are “urinary tract infection” and “antibiotics”.
Results: Usually, patient don’t need antibiotics unless he or she has a urinary-tract infection (UTI). Antibiotics have risks. Doctors should check for symptoms before ordering a urine test.
Conclusions: It is no benefit to patients using indwelling or intermittent catheterization of the bladder unless there are signs and symptoms of urinary tract infection.