T/CACM 011-2016 Clinical Practice Guidelines for the Treatment of Common Infectious Diseases with Traditional Chinese Medicine Alone or in Combination with Antibiotics. Simple Lower Urinary Tract Infection

Scope

Main technical content: Lower urinary tract infection (LUTI) refers to urinary tract infectious diseases caused by the abnormal proliferation of various pathogenic microorganisms in the lower urinary tract, including urethritis and cystitis. Simple lower urinary tract infections do not involve structural and/or functional abnormalities, kidney damage, or other conditions leading to adverse outcomes. The main symptoms include urinary frequency, urgency, and pain, as well as discomfort in the suprapubic region of the bladder. Generally, there are no obvious systemic infection symptoms. Patients often have leukocyturia, and a small number may have hematuria or even macroscopic hematuria. Lower urinary tract infections are primarily bacterial infections and are typically treated with antibiotics. In recent years, due to the widespread use of broad-spectrum antibiotics and immunosuppressants and an aging population, the pathogen spectrum has undergone significant changes. The incidence of pathogens such as Gram-positive bacteria and fungi has increased, and the trend of drug-resistant and multidrug-resistant pathogens has also become apparent. Lower urinary tract infections fall within the scope of "Liquor Disease" in traditional Chinese medicine. According to traditional Chinese medicine, the pathogenesis is "kidney deficiency and bladder heat" (Zhuzibencaolun). Ancient Chinese medical texts and modern clinical research and practice show that traditional Chinese medicine methods such as differential diagnosis and treatment, traditional Chinese medicines, acupuncture, and external therapies are effective, convenient, and practical in treating simple lower urinary tract infections. This guideline follows the latest international clinical practice guidelines and, within the framework of relevant laws and regulations and technical documents, combines the characteristics of traditional Chinese medicine and clinical practice to conduct evidence-based medical research on the t

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