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[Recurrent urinary tract infection in women].
Rev Chilena Infectol 2008; 25(4):268-76RC

Abstract

Recurrent urinary tract infections (R-UTI) are common among women even though they generally have a normal urinary tract. Women with R-UTI have an increased susceptibility to vaginal colonization with uropathogens due to a greater propensity for them to adhere to their epithelial cells. Risk factors include frequent sexual intercourse, spermicide use, first UTI at an early age and maternal history of UTI. Prevention of recurrences can be done with low-dose continuous antimicrobial prophylaxis or with post-coital antimicrobial prophylaxis, a method that may be more efficient and acceptable. Estrogen replacement therapy using a vaginal administration in postmenopausal women is also effective in preventing R-UTI. The vaginal vaccine only diminishes percentage of women with Escherichia coli UTI. The oral vaccine reduces R-UTI with inferior results than antimicrobial prophylaxis; Cranberry intake shows some evidence in favor, although further trials are needed. Finally R-UTI can also be effectively managed with self-start antimicrobial therapy.

Authors+Show Affiliations

Servicio y Departamento de Urología, Hospital Clínico Universidad de Chile, Santiago, Chile. jpvaldevenito@redclinicauchile.cl

Pub Type(s)

English Abstract
Journal Article
Review

Language

spa

PubMed ID

18769773

Citation

Valdevenito S, Juan Pablo. "[Recurrent Urinary Tract Infection in Women]." Revista Chilena De Infectologia : Organo Oficial De La Sociedad Chilena De Infectologia, vol. 25, no. 4, 2008, pp. 268-76.
Valdevenito S JP. [Recurrent urinary tract infection in women]. Rev Chilena Infectol. 2008;25(4):268-76.
Valdevenito S, J. P. (2008). [Recurrent urinary tract infection in women]. Revista Chilena De Infectologia : Organo Oficial De La Sociedad Chilena De Infectologia, 25(4), pp. 268-76. doi:/S0716-10182008000400004.
Valdevenito S JP. [Recurrent Urinary Tract Infection in Women]. Rev Chilena Infectol. 2008;25(4):268-76. PubMed PMID: 18769773.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Recurrent urinary tract infection in women]. A1 - Valdevenito S,Juan Pablo, Y1 - 2008/08/13/ PY - 2008/9/5/pubmed PY - 2009/1/27/medline PY - 2008/9/5/entrez SP - 268 EP - 76 JF - Revista chilena de infectologia : organo oficial de la Sociedad Chilena de Infectologia JO - Rev Chilena Infectol VL - 25 IS - 4 N2 - Recurrent urinary tract infections (R-UTI) are common among women even though they generally have a normal urinary tract. Women with R-UTI have an increased susceptibility to vaginal colonization with uropathogens due to a greater propensity for them to adhere to their epithelial cells. Risk factors include frequent sexual intercourse, spermicide use, first UTI at an early age and maternal history of UTI. Prevention of recurrences can be done with low-dose continuous antimicrobial prophylaxis or with post-coital antimicrobial prophylaxis, a method that may be more efficient and acceptable. Estrogen replacement therapy using a vaginal administration in postmenopausal women is also effective in preventing R-UTI. The vaginal vaccine only diminishes percentage of women with Escherichia coli UTI. The oral vaccine reduces R-UTI with inferior results than antimicrobial prophylaxis; Cranberry intake shows some evidence in favor, although further trials are needed. Finally R-UTI can also be effectively managed with self-start antimicrobial therapy. SN - 0716-1018 UR - https://www.unboundmedicine.com/medline/citation/18769773/[Recurrent_urinary_tract_infection_in_women]_ L2 - http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0716-10182008000400004&lng=en&nrm=iso&tlng=en DB - PRIME DP - Unbound Medicine ER -