HYDRATION MONITORING IN THE PREVENTION OF RECURRENT IDIOPATHIC URINARY-TRACT INFECTIONS IN PREMENOPAUSAL WOMEN

被引：33

作者：

ECKFORD, SD ^{[1
]}

KEANE, DP ^{[1
]}

LAMOND, E ^{[1
]}

JACKSON, SR ^{[1
]}

ABRAMS, P ^{[1
]}

机构：

[1] SOUTHMEAD GEN HOSP,BRISTOL UROL INST,BRISTOL,AVON,ENGLAND

来源：

BRITISH JOURNAL OF UROLOGY | 1995年 / 76卷 / 01期

关键词：

IDIOPATHIC URINARY TRACT INFECTION; URETHRAL FLUSHING; HYDRATION MONITORING; CONDUCTIVITY PROBE;

D O I：

10.1111/j.1464-410X.1995.tb07839.x

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

Objective To assess whether the use of simple hydration monitoring can encourage adequate hydration and reduce urinary osmolality and the incidence of urinary tract infections (UTIs) in a population of susceptible pre-menopausal women with recurrent idiopathic urinary infections, Subjects and methods The study included 28 premenopausal women who had at least two idiopathic UTIs in the previous 6 months. Urinary osmolality was assessed by the patients at each void by a simple hand-herd probe, and the readings over 4 months compared, Monthly urine culture was compared between successive 4-month periods in which the probe was or was not used. Results The study was completed by 17 women. There was a significant shift towards urine of lower osmolality over the 4-month period using the probe (Pearson's chi(2) < 0.001). Significantly fewer urinary tract infections developed during the 4 months using the probe (McNemar's chi(2)=0.046). Conclusions The use of the osmolality probe encouraged the subject to maintain adequate hydration. The resulting augmentation of the natural urethral 'wash-out' mechanism led to lower osmolality urine and a reduction in the incidence of UTIs.

引用

页码：90 / 93

页数：4