实用医学杂志2025，Vol.41Issue(18)：2777-2785,9.DOI:10.3969/j.issn.1006-5725.2025.18.001
《尿路感染全球多学科诊断标准共识》解读
Interpretation of《Global consensus on multidisciplinary diagnostic criteria for urinary tract infections》
摘要
Abstract
The clinical diagnosis and treatment of urinary tract infection has long faced the challenges of insufficient standardization of diagnosis and treatment pathways,irrational use of antimicrobial drugs and high recurrence rate.How to optimize the hierarchical diagnosis and treatment pathway of urinary tract infection,standardize the use of antimicrobial drugs,and reduce the recurrence rate have always been the focus of clinical attention.There is significant heterogeneity in the existing diagnostic criteria for urinary tract infection,which seriously affects the comparability and evidence integration of clinical and research studies.In order to solve the above problems,a consensus on global multidisciplinary diagnostic criteria for urinary tract infection has been formed by international multidisciplinary experts after three rounds of Delphi method.Breaking through the traditional classification framework,the consensus innovatively established a four-dimensional quantitative scoring system including local symptoms and signs,systemic inflammatory response,quantitative analysis of pyuria and urine culture results,and established a hierarchical standard for stepwise urinary tract diagnosis according to the scoring threshold.Based on the key citations related to the consensus,this paper interprets in detail the basis for the selection of core indicators and the establishment of thresholds for the diagnosis of urinary tract infection in the consensus,and focuses on the key issues and implementation paths of the consensus in localization practice.This consensus provides a unified standard for standardizing the clinical diagnosis and treatment of urinary tract infection,improving the homogeneity of clinical research through standardized diagnostic processes,and promoting the standardization of UTI drug research and development and the rational use of antibiotics and precision.关键词
尿路感染/全球多学科诊断标准共识/本土化实践/诊断流程/临床诊疗Key words
urinary tract infections/consensus on global multidisciplinary diagnostic criteria/local-ization practice/diagnostic process/clinical diagnosis and treatment分类
医药卫生引用本文复制引用
梁国芬,杨振华,王奕博,何凯羽,张腊,刘旭生,古月瑜,秦新东,苏国彬..《尿路感染全球多学科诊断标准共识》解读[J].实用医学杂志,2025,41(18):2777-2785,9.基金项目
教育部"春晖计划"合作科研项目(编号:HZKY20220109) （编号:HZKY20220109）
广州市科技计划项目(编号:2025A03J2702) （编号:2025A03J2702）
广东省中医院拔尖人才科研专项资助(编号:BJ2022KY11) （编号:BJ2022KY11）
广东省中医院中医药科学技术研究专项资助(编号:YN2024MB018,YN2024MS012,YN2020QN18,YN2020QN24) （编号:YN2024MB018,YN2024MS012,YN2020QN18,YN2020QN24）
2024年广东省名中医刘旭生传承工作室建设项目(编号:粤中医办函[2023]108号) （编号:粤中医办函[2023]108号）
深圳市"医疗卫生三名工程"项目资助(编号:SZZYSM202206014) （编号:SZZYSM202206014）
