Recurrent urinary tract infections: from pathogenesis to prevention
Med Clin (Barc). 2020 Aug 28;155(4):171-177.
doi: 10.1016/j.medcli.2020.04.026.
Epub 2020 Jun 17.
[Article in
English,
Spanish]
Affiliations
- 1 Servicio de Enfermedades Infecciosas, Hospital Universitario Vall d'Hebron; Departamento de Medicina, Universidad Autónoma de Barcelona, Barcelona, España; Red Española de Investigación en Patología Infecciosa (REIPI RD16/0016/0003); Consultoría Medicina-Enfermedades-Infecciosas, Clínica Creu Blanca, Barcelona, España. Electronic address: cpigrau@vhebron.net.
- 2 Servicio de Enfermedades Infecciosas, Hospital Universitario Vall d'Hebron; Departamento de Medicina, Universidad Autónoma de Barcelona, Barcelona, España; Red Española de Investigación en Patología Infecciosa (REIPI RD16/0016/0003).
Abstract
Urinary tract infections are highly prevalent among women and when they are recurrent they can lead to patient discomfort and high healthcare costs, and they represent one of the most frequent causes of antibiotic consumption. There are several options to prevent RUTI which include both antibiotic treatment (continuous or postcoital antibiotic prophylaxis) and non-antibiotic measures (hygienic measures, vitamin D, blueberries, D-mannose, probiotics, oestrogens, vaccines, intravesical instillations), but with different levels of evidence, sometimes of poor quality, and therefore new randomized and comparative studies are needed to choose the best strategy.
Keywords:
Infección urinaria; Prevención; Prevention; Profilaxis; Prophylaxis; Recurrence; Recurrencia; Urinary tract infection.
Copyright © 2020 Elsevier España, S.L.U. All rights reserved.
MeSH terms
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Anti-Bacterial Agents / therapeutic use
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Antibiotic Prophylaxis
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Estrogens / therapeutic use
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Female
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Humans
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Probiotics* / therapeutic use
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Recurrence
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Secondary Prevention
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Urinary Tract Infections* / drug therapy
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Urinary Tract Infections* / etiology
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Urinary Tract Infections* / prevention & control
Substances
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Anti-Bacterial Agents
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Estrogens