Protocolo de tratamiento empírico de las infecciones urinarias

  1. Yuste, Jose Ramon
  2. del Pozo, J.L.
  3. Carmona-Torre, F.
Revista:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Año de publicación: 2018

Título del ejemplar: Enfermedades infecciosas (III) Infecciones por bacilos Gram negativos

Serie: 12

Número: 51

Páginas: 3041-3047

Tipo: Artículo

DOI: 10.1016/J.MED.2018.03.007 DIALNET GOOGLE SCHOLAR

Otras publicaciones en: Medicine: Programa de Formación Médica Continuada Acreditado

Resumen

Introduction. Urinary infections are one of the most common healthcare-related infections both at community and nosocomial level. They are not usually serious but they do incur a frequent and often unnecessary use of antibiotics, with the risk of resistance mechanisms, and possible side effects of treatment that could have been avoided. Asymptomatic bacteriuria. This is when a high uropathogen count is found in the urine of an asymptomatic person. Its diagnosis and treatment is of particular interest in pregnant women and after undertaking a high-risk urological procedure. Acute cystitis/acute pyelonephritis. These are symptomatic urinary tract infections and it is important to be aware of the available evidence for diagnosis and treatment to reduce the risk of recurrence and use antibiotics appropriately. Recurrent infections. A clinical situation defined by at least 2 episodes in the course of the past 6 months or 3 or more in the previous year. This is a relatively common problem where preventive strategies, adapted to each clinical situation, are very important.

Referencias bibliográficas

  • De Cueto M, Aliaga L, Alós JI, Canut A, Los-Arcos I, Martínez JA. Executive summary of the diagnosis and treatment of uri-nary tract infection: Guidelines of the Spanish Society of Clinical Microbiology and Infectious Diseases (SEIMC). Enferm Infecc Microbiol Clin. 2017;35(5):314-20.
  • Gupta K, Hooton TM, Naber KG, Wullt B, Colgan R, Miller LG. International clinical practice guidelines for the treatment of acute uncomplicated cystitis and pyelonephritis in women: A 2010 update by the Infectious Diseases Society of America and the European Society for Microbiology and Infectious Diseases. Clin Infect Dis. 2011;52:e103-20.
  • Nicolle LE, Bradley S, Colgan R, Rice JC, Schaeffer A, Hooton TM. Infectious Diseases Society of America guidelines for the diag-nosis and treatment of asymptomatic bacteriuria in adults. Clin Infect Dis. 2005;40:643-54.
  • Smaill FM, Vázquez JC. Antibiotics for asymptomatic bacteriuria in pregnancy. Cochrane Database Syst Rev. 2015;8:CD000490.
  • Zani EL, Clark OAC, Rodrigues Netto N. Antibiotic prophylaxis for transrectal prostate biopsy. Cochrane database Syst Rev. 2011;(5): CD006576.
  • Rafalsky V, Andreeva I, Rjabkova E. Quinolones for uncomplicated acute cystitis in women. Cochrane database Syst Rev. 2006;CD003597.
  • Rodríguez-Baño J, Cisneros JM, Cobos-Trigueros N, Fresco G, Navarro-San Francisco C, Gudiol C. Diagnosis and antimicrobial treatment of invasive infections due to multidrug resistant Enterobacteriaceae. Guidelines of the Spanish Society of Infectious Diseases and Clinical Microbiology. Enferm Infecc Microbiol Clin. 2015;33:337.e1-337.e21.
  • Paul M, Lador A, Grozinsky-Glasberg S, Leibovici L. Beta lactam antibiotic monotherapy versus beta lactamaminoglycoside antibiotic combination therapy for sepsis. Cochrane Database Syst Rev. 2014;1:CD003344.
  • Jepson RG, Williams G, Craig JC. Cranberries for preventing urinary tract infections. Cochrane Database Syst Rev. 2012;10:CD001321.
  • Perrotta C, Aznar M, Mejia R, Albert X, Ng CW. Oestrogens for preventing recurrent urinary tract infection in postmenopausal women. Cochrane Database Syst Rev. 2008;(2):CD005131.
Fuente de los datos: Dialnet