Recurrent Urinary Tract Infections and Asymptomatic Bacteriuria in Adults.

IF 0.2 Q4 UROLOGY & NEPHROLOGY Current Bladder Dysfunction Reports Pub Date : 2022-01-01 Epub Date: 2021-12-01 DOI:10.1007/s11884-021-00638-z

David Hernández-Hernández, Bárbara Padilla-Fernández, María Yanira Ortega-González, David Manuel Castro-Díaz

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引用次数: 6

Abstract

Purpose of review: Our goal was to summarize recent evidence regarding recurrent urinary tract infections and asymptomatic bacteriuria in different adult populations.

Recent findings: Several research groups are focused on the description of resident bacterial flora in the bladder and urinary dysbiosis in the microbiome era. Even the definitions might change in light of these discoveries. However, the role of urinary microbiome and bacterial interference has still to be determined.

Summary: Systematic treatment of asymptomatic bacteriuria is not recommended and even classic indications such as asymptomatic bacteriuria in pregnant women are controversial. In fact, its treatment is associated with a higher probability of symptomatic UTI and a higher prevalence of antibiotic-resistant bacteria. Improving the diagnosis of asymptomatic bacteriuria and optimizing the management of recurrent urinary tract infections, especially through non-antibiotics measures, are needed in order to minimise antimicrobial resistance.

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成人复发性尿路感染与无症状细菌性尿症。

回顾的目的:我们的目的是总结不同成人人群中复发性尿路感染和无症状性细菌尿症的最新证据。最近发现:几个研究小组专注于描述微生物组时代膀胱中的常驻细菌菌群和尿生态失调。甚至这些定义也可能会随着这些发现而改变。然而，尿微生物组和细菌干扰的作用仍有待确定。摘要:不建议系统治疗无症状性细菌尿，即使是孕妇无症状性细菌尿等经典适应症也存在争议。事实上，它的治疗与症状性尿路感染的更高概率和抗生素耐药细菌的更高患病率有关。改善无症状细菌尿症的诊断和优化复发性尿路感染的管理，特别是通过非抗生素措施，是必要的，以尽量减少抗菌素耐药性。

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来源期刊

Current Bladder Dysfunction Reports UROLOGY & NEPHROLOGY-

CiteScore

0.50

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0.00%

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期刊介绍： The aim of this journal is to help readers understand expert views on current advances in the field of bladder dysfunction by systematically providing review articles that highlight the most important papers recently published. We accomplish this aim by appointing major authorities in key subject areas across the discipline to select topics reviewed by leading experts who emphasize recent developments, novel research, and highlight important papers published over the past year on their topics. We also highlight areas that have not received attention in the past and are important to an international audience, such a voiding dysfunction in reconstructed bladders and voiding dysfunction associated with genitourinary infections. An Editorial Board of internationally diverse members also suggests topics of special interest to their country/region and ensures that topics are current and include emerging research.

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