Recurrent urinary tract infections: from pathogenesis to

Medicina clinica · Aug 2020

Review

Recurrent urinary tract infections: from pathogenesis to prevention.

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.

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- Carlos Pigrau and Laura Escolà-Vergé.
- 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.
- Med Clin (Barc). 2020 Aug 28; 155 (4): 171-177.
AbstractUrinary 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.Copyright © 2020 Elsevier España, S.L.U. All rights reserved.

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Recurrent urinary tract infections: from pathogenesis to prevention.

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