URINARY TRACT INFECTION: FROM DIAGNOSIS TO TREATMENT
DOI:
https://doi.org/10.63330/aurumpub.014-019Keywords:
Urinary tract infection, Antimicrobial resistance, Treatment, Clinical guidelinesAbstract
Urinary tract infection (UTI) is a prevalent clinical condition, both in the community and in hospitals. Women are particularly susceptible to uncomplicated UTIs, with many experiencing multiple episodes throughout their lives. Asymptomatic bacteriuria and complicated UTIs also pose significant clinical challenges. Nosocomial UTIs, often associated with catheters, account for a considerable portion of hospital-acquired infections and bacteremias. Increasing antimicrobial resistance among uropathogens has impacted UTI treatment, especially in community-acquired infections. Escherichia coli is the most common etiologic agent in uncomplicated UTIs in young women, which can usually be treated on an outpatient basis with oral antibiotics. Complicated UTIs comprise a heterogeneous group of infections associated with risk factors that can compromise treatment. Distinguishing between complicated and uncomplicated UTIs is crucial for guiding evaluation and antimicrobial therapy. Diagnosis can be complex in the elderly and in patients with catheters. Clinical guidelines aim to optimize the diagnosis and treatment of UTIs.
Downloads
References
1. BONO, M. J.; LESLIE, S. W.; REYGAERT, W. C. Urinary Tract Infection. StatPearls, 28 nov. 2022.
2. CHING, C. B. et al. Innate immunity and urinary tract infection. Pediatric Nephrology, v. 35, n. 7, p. 1183–1192, 13 jun. 2019.
3. CZAJKOWSKI, K.; BROŚ-KONOPIELKO, M.; TELIGA-CZAJKOWSKA, J. Urinary tract infection in women. Menopausal Review, v. 20, n. 1, p. 40–47, 2021.
4. DONG SUP LEE; LEE, S.-J.; CHOE, H.-S. Community-Acquired Urinary Tract Infection byEscherichia coliin the Era of Antibiotic Resistance. BioMed Research International, v. 2018, p. 1–14, 26 set. 2018.
5. JUNG, C.; BRUBAKER, L. The etiology and management of recurrent urinary tract infections in postmenopausal women. Climacteric, v. 22, n. 3, p. 242–249, 9 jan. 2019.
6. KHAULI, R. et al. Management of urinary tract infection in women: A practical approa for everyday practice. Urology Annals, v. 11, n. 4, p. 339, 2019.
7. KWOK, M. et al. Guideline of guidelines: management of recurrent urinary tract infections in women. BJU International, v. 130, n. S3, p. 11–22, 17 maio 2022.
8. LEUNG, A. K. C. et al. Urinary Tract Infection in Children. Recent Patents on Inflammation & Allergy Drug Discovery, v. 13, n. 1, p. 2–18, 5 ago. 2019.
9. MENEGUETI, M. G. et al. Long-term prevention of catheter-associated urinary tract infections among critically ill patients through the implementa íon of a educationa program and a daily checklist for maintenance of indwelling urinary catheters. Medicine, v. 98, n. 8, p. e14417–e14417, 1 fev. 2019.
10. NEUGENT, M. L. et al. Advances in Understanding the Huma Urinary Microbiome and Its Potential Role in Urinary Tract Infection. MBio, v. 11, n. 2, 28 abr. 2020.
11. TAMADONFAR, K. O. et al. Reaching the End of the Line: Urinary Tract Infections. Microbiology Spectrum, v. 7, n. 3, 31 maio 2019.
12. AYDIN A, Ahmed K, Zaman I, Khan MS, Dasgupta P. Recurrent urinary Tract infections in women. Int Urogynecol J. 2015;26(6):795-804.
13. GRABE M, Bartetti R, Johansen TE, Cai T, Cek M, Koves B, et al. Guidelines on urological infections. EAU Guideline; 2015.
14. HADDAD JM. Manual de uroginecologia e cirurgia vaginal. São Paulo: Federação Brasileira das Associações de Ginecologia e Obstetrícia (Febrasgo); 2015
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Pedro Henrique Zacarias Costa, Caio Hartt Souza, Rosane Pereira da Silva , Samara Cardoso Fernandes, Júlia Oliveira Sampaio Tajra França, Thiago de Almeida Garcia (Autor)
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
