中国肾脏移植受者尿路感染临床诊疗指南  

Guidelines for clinical diagnosis and treatment of urinary tract infection in kidney transplant recipients in China

作　　者：中华医学会器官移植学分会 管瑀 林俊[2] 付绍杰[3] 周洪澜[4] 王钢[4] 薛武军[5] Branch of Organ Transplantation of Chinese Medical Association;Lin Jun;Xue Wujun(不详;Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China)

机构地区：[1]不详 [2]首都医科大学附属北京友谊医院,北京100050 [3]南方医科大学南方医院 [4]吉林大学白求恩第一医院 [5]西安交通大学第一附属医院

出　　处：《器官移植》2024年第5期700-711,共12页Organ Transplantation

基　　金：国家自然科学基金(82000712);北京市自然科学基金(7192043)。

摘　　要：尿路感染是肾脏移植术后最常见的感染性并发症。为了进一步降低肾脏移植术后受者尿路感染的发生率,提高中国肾脏移植术后受者尿路感染的诊疗水平,减缓细菌耐药性的发展并保证受者用药安全和有效性,中华医学会器官移植学分会组织肾脏移植专家和感染性疾病专家,结合我国肾脏移植术后尿路感染的临床现状,并参考2022版《中国泌尿外科和男科疾病诊断治疗》和2019版《美国移植学会感染性疾病实践指南中实体器官移植受者的尿路感染》,从肾脏移植术后尿路感染的临床分类和定义、流行病学和病因学、诊断和治疗等方面,制定《中国肾脏移植受者尿路感染临床诊疗指南》。Urinary tract infection is the most common infectious complication after kidney transplantation.To further reduce the incidence of urinary tract infection after kidney transplantation,improve the diagnosis and treatment level of urinary tract infection after kidney transplantation in China,prevent the development of bacterial drug resistance and ensure the safety and effectiveness of drug use,Branch of Organ Transplantation of Chinese Medical Association organized experts in the fields of kidney transplantation and infectious diseases to consider clinical status of urinary tract infection after kidney transplantation in China,refer to“Diagnosis and Treatment of Urological and Andrological Diseases in China(2022 edition)”and“Urinary Tract Infection in Solid Organ Transplant Recipients in American Society of Transplantation Practical Guidelines for Infectious Diseases(2019 edition)”,and formulate“Guidelines for Clinical Diagnosis and Treatment of Urinary Tract Infection in Kidney Transplant Recipients in China”from the perspectives of clinical classification and definition,epidemiology and etiology,diagnosis and treatment of urinary tract infection after kidney transplantation,respectively.

关 键 词：肾脏移植 尿路感染 耐药菌 抗生素 单纯性膀胱炎 肾盂肾炎 无症状菌尿 革兰阴性菌 

分 类 号：R617[医药卫生—外科学] R691[医药卫生—临床医学]