Alternative Approaches to Conventional Treatment of Acute Uncomplicated Urinary Tract Infection in Women

Abstract

The increasing resistance of uropathogens to antibiotics, and recognition of generally self-limiting nature of uncomplicated urinary tract infection (UTI) suggests that it is time to reconsider empirical treatment of UTI using antibiotics. Identifying new and effective strategies to prevent recurrences and alterative treatment strategies are a high priority. We review the recent literature regarding the effects of functional food products, probiotics, vaccines, and alternative treatments on treating and preventing UTI.

Rekurentne infekcije mokraćnih puteva: antimikrobna i imunoaktivna profilaksa

“…Naime, infekcije mokraćnih puteva najčešće izazivaju bakterije koje kolonizuju vaginu i periuretralni prostor i koje najčešće prodiru u mokraćnu bešiku tokom seksualne aktivnosti. Zato obnova vaginalne flore preparatima laktobacila može da spreči kolonizaciju ove regije uropatogenim bakterijama i smanji rizik od infekcije mokraćnih putreva [52,53]. Do sada objavljene studije su pokazale različite rezultate i ima se utisak da efikasnost zavisi od soja laktobacila [52,53].…”

“…Zato obnova vaginalne flore preparatima laktobacila može da spreči kolonizaciju ove regije uropatogenim bakterijama i smanji rizik od infekcije mokraćnih putreva [52,53]. Do sada objavljene studije su pokazale različite rezultate i ima se utisak da efikasnost zavisi od soja laktobacila [52,53]. Zbog toga većina vodiča navodi da nema dovoljno dokaza za primenu ove vrste profilakse [2,19,23].…”

Infección del tracto urinario por Escherichia Coli resistente a antibióticos tratada con Vaccinium Macrocarpon (arándano rojo): reporte de caso

“…El fracaso de los antibióticos por la creciente resistencia de los uropatógenos sugiere que es tiempo de reconsiderar el tratamiento antibiótico empírico de las ITU, por ese motivo, es de alta prioridad la identificación de nuevas y efectivas estrategias (13) . Ante esta situación, una de las terapias alternativas más estudiadas en las ITU es el tratamiento con Vaccinium macrocarpon (arándano rojo o cranberry); sin embargo, aún no se cuenta con evidencia suficiente que demuestre su eficacia en estos casos (14) .…”

Prevention of Cystitis: Travelling between the Imaginary and Reality

“…The foremost is to reduce morbidity associated with the infections, which are often related to pain and general discomfort. Besides, the prevention of cystitis can potentially reduce the use of antibiotics in these subjects [9]. This reduction is particularly relevant in 3 ways.…”