[{"Title":"参考文献","UniqueID":"v87529483_ja","Index":1.0,"Summary":"

1.Foxman B: Epidemiology of urinary tract infections: Incidence, morbidity, and economic costs.Am J Med 13 Suppl 1A:5S-13S, 2002.doi: 10.1016/s0002-9343(02)01054-9

","HeadType":"G_Head","SchemeItemProp":"","Children":[]},{"Title":"病態生理","UniqueID":"v1052785_ja","Index":2.0,"Summary":"

腎臓から外尿道口までの尿路は，遠位尿道が大腸内の細菌によって頻繁に汚染されるにもかかわらず，正常では無菌であり，細菌の定着に対して抵抗力を有している。尿路感染症に対する主要な防御機構は，排尿時に膀胱が完全に空になることである。尿路を無菌に保つその他の機構としては，尿の酸性度，膀胱尿管弁，種々の免疫および粘膜バリアなどがある。

","HeadType":"F_Head","SchemeItemProp":"","Children":[{"Title":"危険因子","UniqueID":"v9115343_ja","Index":1.0,"Summary":"

","HeadType":"G_Head","SchemeItemProp":"","Children":[]},{"Title":"病態生理に関する参考文献","UniqueID":"v87529494_ja","Index":2.0,"Summary":"

","HeadType":"G_Head","SchemeItemProp":"","Children":[]}]},{"Title":"病因","UniqueID":"v1052798_ja","Index":3.0,"Summary":"

膀胱炎および腎盂腎炎を引き起こす頻度が高い細菌としては，以下のものがある：

","HeadType":"F_Head","SchemeItemProp":"itemprop=\"cause\" itemscope itemtype=\"http://schema.org/MedicalCause\"","Children":[]},{"Title":"分類","UniqueID":"v1052812_ja","Index":4.0,"Summary":"

尿道の細菌（または原虫，ウイルス，真菌）による感染は，尿道に進入した微生物が男性の尿道球部および下垂部と女性の尿道全体に存在する多数の尿道周囲腺に，急性または慢性に定着することで起こる。性感染症を引き起こす病原体であるChlamydia trachomatis（クラミジア，マイコプラズマ，およびウレアプラズマによる感染症を参照），淋菌（Neisseria gonorrhoeae）（淋菌感染症を参照），腟トリコモナス（Trichomonas vaginalis）（トリコモナス症を参照），および単純ヘルペスウイルスは，男女ともに頻度の高い原因である。

","HeadType":"F_Head","SchemeItemProp":"","Children":[{"Title":"尿道炎","UniqueID":"v1052814_ja","Index":1.0,"Summary":"

","HeadType":"G_Head","SchemeItemProp":"","Children":[]},{"Title":"膀胱炎","UniqueID":"v1052825_ja","Index":2.0,"Summary":"

","HeadType":"G_Head","SchemeItemProp":"","Children":[]},{"Title":"急性尿道症候群","UniqueID":"v1052829_ja","Index":3.0,"Summary":"

","HeadType":"G_Head","SchemeItemProp":"","Children":[]},{"Title":"無症候性細菌尿","UniqueID":"v1052835_ja","Index":4.0,"Summary":"

","HeadType":"G_Head","SchemeItemProp":"","Children":[]},{"Title":"急性腎盂腎炎","UniqueID":"v1052842_ja","Index":5.0,"Summary":"

","HeadType":"G_Head","SchemeItemProp":"","Children":[]},{"Title":"分類に関する参考文献","UniqueID":"v87529505_ja","Index":6.0,"Summary":"

","HeadType":"G_Head","SchemeItemProp":"","Children":[]}]},{"Title":"症状と徴候","UniqueID":"v1052850_ja","Index":5.0,"Summary":"

高齢患者，神経因性膀胱患者，またはカテーテル留置患者では，敗血症とせん妄がみられるが，尿路に関係する症状はみられない場合がある。

","HeadType":"F_Head","SchemeItemProp":"","Children":[]},{"Title":"診断","UniqueID":"v1052863_ja","Index":6.0,"Summary":"

尿検査

","HeadType":"F_Head","SchemeItemProp":"","Children":[{"Title":"採尿","UniqueID":"v1052872_ja","Index":1.0,"Summary":"

尿検査

","HeadType":"G_Head","SchemeItemProp":"","Children":[]},{"Title":"尿検査","UniqueID":"v1052879_ja","Index":2.0,"Summary":"

尿検査

","HeadType":"G_Head","SchemeItemProp":"","Children":[]},{"Title":"感染部位の同定","UniqueID":"v1052907_ja","Index":3.0,"Summary":"

尿検査

","HeadType":"G_Head","SchemeItemProp":"","Children":[]},{"Title":"その他の検査","UniqueID":"v1052913_ja","Index":4.0,"Summary":"

尿検査

","HeadType":"G_Head","SchemeItemProp":"","Children":[]},{"Title":"診断に関する参考文献","UniqueID":"v26438660_ja","Index":5.0,"Summary":"

尿検査

","HeadType":"G_Head","SchemeItemProp":"","Children":[]}]},{"Title":"治療","UniqueID":"v1052919_ja","Index":7.0,"Summary":"

抗菌薬

","HeadType":"F_Head","SchemeItemProp":"itemprop=\"possibleTreatment\" itemscope itemtype=\"http://schema.org/MedicalTherapy\"","Children":[{"Title":"尿道炎","UniqueID":"v1052928_ja","Index":1.0,"Summary":"

抗菌薬

","HeadType":"G_Head","SchemeItemProp":"itemprop=\"possibleTreatment\" itemscope itemtype=\"http://schema.org/MedicalTherapy\"","Children":[]},{"Title":"膀胱炎","UniqueID":"v1052932_ja","Index":2.0,"Summary":"

抗菌薬

","HeadType":"G_Head","SchemeItemProp":"itemprop=\"possibleTreatment\" itemscope itemtype=\"http://schema.org/MedicalTherapy\"","Children":[]},{"Title":"急性尿道症候群","UniqueID":"v1052939_ja","Index":3.0,"Summary":"

抗菌薬

","HeadType":"G_Head","SchemeItemProp":"itemprop=\"possibleTreatment\" itemscope itemtype=\"http://schema.org/MedicalTherapy\"","Children":[]},{"Title":"無症候性細菌尿","UniqueID":"v1052943_ja","Index":4.0,"Summary":"

抗菌薬

","HeadType":"G_Head","SchemeItemProp":"itemprop=\"possibleTreatment\" itemscope itemtype=\"http://schema.org/MedicalTherapy\"","Children":[]},{"Title":"急性腎盂腎炎","UniqueID":"v1052950_ja","Index":5.0,"Summary":"

抗菌薬

","HeadType":"G_Head","SchemeItemProp":"itemprop=\"possibleTreatment\" itemscope itemtype=\"http://schema.org/MedicalTherapy\"","Children":[]},{"Title":"治療に関する参考文献","UniqueID":"v46185312_ja","Index":6.0,"Summary":"

抗菌薬

","HeadType":"G_Head","SchemeItemProp":"itemprop=\"possibleTreatment\" itemscope itemtype=\"http://schema.org/MedicalTherapy\"","Children":[]}]},{"Title":"予防","UniqueID":"v1052955_ja","Index":8.0,"Summary":"

再発性尿路感染症（UTI）の女性では，外陰腟萎縮や尿道憩室，便失禁，腟脱などの管理可能な病態を検出するため，身体診察に内診を含めるべきである。再発性UTIの男性では，前立腺炎，尿道炎，および残尿がないか評価すべきである。

","HeadType":"F_Head","SchemeItemProp":"","Children":[{"Title":"予防に関する参考文献","UniqueID":"v46185320_ja","Index":1.0,"Summary":"

","HeadType":"G_Head","SchemeItemProp":"","Children":[]}]},{"Title":"要点","UniqueID":"v9115490_ja","Index":9.0,"Summary":"

細菌性UTIおよびUTI全体で最も頻度の高い原因は，大腸菌とその他のグラム陰性腸菌である。

","HeadType":"F_Head","SchemeItemProp":"","Children":[]}]