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Urinary tract infections and their prevention



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Prevention of urinary tract infection
New preventive measures for the urin
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Actas Urolgicas Espaolas (English

Volume 36, Issue 1, January 2012, Pages 4853
Review article

Urinary tract infections and their prevention

La infeccin urinaria y su prevencin
F. Gonzlez-Chamorroa,

, R. Palaciosb, J. Alcoverb, J. Camposb, F. Borregoc, D.

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F. Gonzlez-Cham orro, R. Palacios, J. Alcover, J. Cam pos, F. Borrego, D. Dm aso

La infeccin urinaria y su prevencin

Actas Urolgicas Espaolas, Volume 36, Issue 1, January 2012, Pages 48-53
Purchase PDF (891 K)

This article reviews diverse aspects of the prevention of urinary tract infections, including
confirmation of the diagnosis, application of hygiene and dietary measures, antibacterial
prophylaxis (preferably consisting of a single nocturnal oral dose per day of an antibiotic or
drug with high urinary excretion and good tolerance), and administration of vaccines made
with Escherichia coli and other Gram-negative bacilli, consisting of immunostimulating
fractions of E. coli strains or E. coli type-1 fimbriae administered through the parenteral or
oral route.
We aimed to review the new preventive measures against urinary tract infections.
Acquisition and synthesis of evidence
We reviewed various microbiological aspects, as well as the physiopathology and virulence
factors of uropathogenic E. coli strains expressing type-1 and P fimbriae. The association
between blood groups and urinary tract infections in blood group antigen-secretors and
nonsecretors was analyzed.
New preventive measures against urinary tract infection consist of the use of phenolinactivated vaccines administered via the mucosal route, inhibitors of bacterial adherence
and biofilm formation, and cyclic adenosine monophosphate stimulators, especially in
women aged between puberty and menopause, who show the highest incidence of these

En este artculo se revisan diferentes aspectos acerca de la prevencin de las infecciones
del tracto urinario que incluyen: la confirmacin de la existencia de dichas infecciones, la
aplicacin de medidas higinico-dietticas, la profilaxis antibacteriana preferentemente
la toma de una nica dosis nocturna diaria oral de un antibitico o quimioterpico con



Urinary tract infections and their prevention

elevada excrecin urinaria y buena tolerancia, la administracin de vacunas elaboradas

con Escherichia coli y otros bacilos gramnegativos completos con fracciones
inmunoestimulantes o fimbrias tipo 1 de E. coli por vas parenteral u oral.
Revisin de las nuevas medidas de prevencin de las infecciones del tracto urinario.
Adquisicin y sntesis de evidencia
Se revisan diferentes aspectos microbiolgicos, la fisiopatologa y los factores de
virulencia de E. coli uropatgenos productores de fimbrias de tipos 1 y P. Se analiza la
relacin entre los grupos sanguneos y la infeccin del tracto urinario en los individuos
secretores y no secretores.
El uso de vacunas inactivadas con fenol y administradas por va mucosa, el empleo de
inhibidores de la adherencia y de la formacin de biopelculas bacterianas y el uso de
estimuladores del adenosn-monofosfato cclico se presentan como nuevas medidas
preventivas de la infeccin urinaria, particularmente para el grupo de mayor incidencia,
representado por las mujeres entre la pubertad y la menopausia.

Urinary infection; Adherence; Fimbriae; Biofilms; Vaccines

Palabras clave
Infeccin urinaria; Adherencia; Fimbrias; Biopelculas; Vacunas

Please cite this article as: Gonzlez-Chamorro F, et al. La infeccin urinaria y su

prevencin. Actas Urol Esp. 2012;36:4853.

Corresponding author.
Copyright 2011 AEU. Published by Elsevier Espaa S.L. All rights reserved.
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