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Inicio Medicina Clínica (English Edition) Recurrent urinary tract infections: From pathogenesis to prevention
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Vol. 155. Issue 4.
Pages 171-177 (August 2020)
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Vol. 155. Issue 4.
Pages 171-177 (August 2020)
Review
Recurrent urinary tract infections: From pathogenesis to prevention
Infecciones urinarias recurrentes: desde la patogenia a las estrategias de prevención
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Carlos Pigraua,b,c,
Corresponding author
cpigrau@vhebron.net

Corresponding author.
, Laura Escolà-Vergéa,b
a Servicio de Enfermedades Infecciosas, Hospital Universitario Vall d’Hebron, Departamento de Medicina, Universidad Autónoma de Barcelona, Barcelona, Spain
b Red Española de Investigación en Patología Infecciosa (REIPI RD16/0016/0003), Spain
c Consultoría Medicina-Enfermedades-Infecciosas, Clínica Creu Blanca, Barcelona, Spain
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Table 1. Antibiotics for the prevention of recurrent urinary infections.
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:
Urinary tract infection
Recurrence
Prevention
Prophylaxis
Resumen

Las infecciones urinarias son muy prevalentes entre las mujeres y cuando son recurrentes conllevan malestar a las pacientes, un elevado coste sanitario y representan una de las causas más frecuentes de uso de antibióticos. Para prevenirlas existen varias opciones que incluyen tanto tratamientos antibióticos (profilaxis antibiótica continua o poscoital) como medidas no antibióticas (medidas higiénicas, vitamina D, arándanos, D-manosa, probióticos, estrógenos, vacunas, instilaciones intravesicales), pero con diferente nivel de evidencia y, a veces, de mala calidad, por lo que se necesitan nuevos estudios aleatorizados y comparativos que permitan diseñar la mejor estrategia de prevención.

Palabras clave:
Infección urinaria
Recurrencia
Prevención
Profilaxis

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