Vol.63 No.5 September 2015
Treatment strategies for urinary tract infections under consideration of antibiotic resistant strains: in terms of urologists
Department of Urology, Kobe University Graduate School of Medicine, 7-5-1 Kusunokicho, Chuo-ku, Kobe, Hyogo, Japan
Abstract
The current situation for the treatments for urinary tract infections (UTIs) has been changed and become more complicated than before. One of the reasons is an increase of antibiotic-resistant strains. UTIs are generally classified into uncomplicated- and complicated UTI according to the presence or absence of systematic or urinary tract underlying diseases when considering the treatment approach and then it is necessary to know the trend of the causative bacteria and antibiogram findings. At the same time, there are several essential approaches for UTI treatments: 1) medical approach, 2) surgical approach, 3) bacterial approach and 4) chemical (antibiotic) approach, and lack of even one of them can cause treatment failure. This review gives an outline on antibiotic therapy considering antibiotic resistant strains especially focusing on the viewpoint of a urological interventional approach.
Key word
urinary tract infection, antimicrobial agent, drug-resistance, drainage
Received
October 28, 2014
Accepted
June 23, 2015
Jpn. J. Chemother. 63 (5): 462-468, 2015
