Infecciones del tracto urinario

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

ISSN: 0304-5412

Year of publication: 2018

Issue Title: Enfermedades infecciosas (III) Infecciones por bacilos Gram negativos

Series: 12

Issue: 51

Pages: 3020-3030

Type: Article

DOI: 10.1016/J.MED.2018.03.004 DIALNET GOOGLE SCHOLAR

More publications in: Medicine: Programa de Formación Médica Continuada Acreditado

Abstract

Introduction. Urinary tract infections (UTI) are the most common infectious diseases that present in outpatient and hospital settings; in the latter case they are principally associated with urinary catheters. Pathogenesis and clinical manifestations. Urinary tract infections are caused by uropathogens travelling upwards and colonising the periurethral mucosa, generally from the bowel. They principally present with voiding symptoms. Most UTI are uncomplicated infections that present in young, sexually active women. Upper urinary tract infections that include infections that affect the renal and/or prostatic parenchyma-pelvis can also spread upwards and, less often, haematogenously, and are usually clinically associated with an infectious syndrome. Diagnosis and treatment. Diagnosis is essentially based on clinical symptoms and urine culture. Haemoculture is only recommended in certain situations and in most cases no complementary diagnostic tests are required. Treatment can usually be given as an outpatient and is empirical according to the local sensitivity pattern of Escherichia coli, which is the causative agent of more than 80% of these infections. Asymptomatic bacteriuria (AB) and complicated UTI are other forms in which UTI present.

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Data source: Dialnet