尿路感染显露出来
Modern science has shown that the widely held beliefs of clinicians about urinary tract infection (UTI) are wrong. A large body of meticulous, rigorous data, from different centres around the world makes this point. How can it be that doctors continue to practise in contradiction of what we now know? A few clinicians are now changing their approach with gratifying results so it is timely to encourage others to do likewise. Clinical guidelines have achieved such influence that most doctors feel compelled to follow them and may face censure if they do not. Regrettably the guidelines are mistaken and contradict the known science. The inertia of bureaucracy and the fear of antimicrobial resistance (AMR) do not help to encourage reflection. However, things are changing and the future should see new and better informed advice. It is a tragedy that these circumstances are leading to widespread suffering amongst many women, some men and children who experience untreated or inadequately treated infection that may plague them for years. This situation has to change. This book sets out the truth about this neglected field and explains the many errors that haunt the topic. The style makes the message accessible to all clinicians. The story is convincing, because the clinical stories that illustrate the text will be so familiar to practising clinicians, who have been baffled by their experiences. Above all, this book will help you and your patients by detailing an accessible, practical approach to resolving this difficult clinical problem in common practice.
现代科学表明,临床医生普遍持有的尿路感染(UTI)信念是错误的。世界各地不同中心积累的细致而严格的大量数据证明了这一点。为什么医生还要继续在我们已知的事实之外实践? 几位临床医生已经开始改变他们的做法,并取得了令人满意的结果,因此现在是鼓励其他人也这样做的时候了。 由于影响巨大,大多数医生都会受到临床指南的影响并感到必须遵循它们,否则可能会遭受批评。不幸的是,这些指南存在错误且与已知的科学事实相矛盾。官僚主义惯性和对抗耐药性(AMR)的恐惧不利于激发反思。不过情况正在发生变化,在未来,应该会有新的并且更受信息支持的建议出现。 这种情况导致许多女性、一些男性和儿童饱受未经治疗或处理不当的感染折磨,这些感染可能会困扰他们多年。必须改变这种状况。本书揭示了这个被忽视领域的真相,并解释了许多困扰该话题的错误。其写作风格使消息对所有临床医生都易于理解。故事令人信服,因为所使用的临床案例会为实践中的医生感到困惑而熟悉。最重要的是,这本书将帮助您和您的患者解决实践中常见的这一棘手临床问题,提供一种可访问且实用的方法来应对这个问题。
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