To treat or not to treat asymptomatic bacteriuria before methylprednisolone perfusion

被引：2
|
作者：
Donze, C. [1 ]
Dinh, A. [2 ]
Heinzlef, O. [3 ]
Hautecoeur, P. [4 ]
机构：
[1] Grp Hosp Inst Catholique Lille, Serv Med Phys & Readaptat Fonct, F-59462 Lomme Les Lille, France
[2] Hop Raymond Poincare, Unite Malad Infect, F-92380 Garches, France
[3] CHI Poissy St Germain En Laye, Serv Neurol, F-78303 Poissy, France
[4] Grp Hosp Inst Catholique Lille, Serv Neurol, F-59462 Lomme Les Lille, France
来源：
REVUE NEUROLOGIQUE | 2015年 / 171卷 / 8-9期
关键词：
Multiple sclerosis; Urine culture; Asymptomatic bacteriuria; Bolus solumedrol; MULTIPLE-SCLEROSIS;
D O I：
10.1016/j.neurol.2015.04.013
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
The prescription of methylprednisolone for multiple sclerosis acute relapse involves sterilization of urine. An observational study was conducted to clarify the benefit of antibiotic prophylaxis in case of asymptomatic bacteriuria found before methylprednisolone. Ninety-seven patients were included; 32 patients had asymptomatic bacteriuria. Seventeen patients were treated and 15 were not. The number of urinary tract infections in the month following the methylprednisolone was the same in the two groups. The results seem in favor of a therapeutic abstention. A larger study will be performed to confirm these results and determine appropriate recommendations. (C) 2015 Elsevier Masson SAS. All rights reserved.
引用
收藏
页码：669 / 673
页数：5
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