26/8/2015

Urinary tract infections and their prevention

Journals

Books

Pu rch a se

Arti cl e o u tl i n e

Export

Search ScienceDirect

Sign in

Help

Advanced search

Show full outline

Abstract
Resumen
Keywords
Palabras clave
Prevention of urinary tract infection
New preventive measures for the urin
Conclusion
Conflict of interest
References
ADVERTISEMENT

Shopping cart

Actas Urolgicas Espaolas (English

Edition)
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,
Dmasod

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

Show more
Choose an option to locate/access this article:
Check if you have access
through your login credentials
or your institution

Purchase $31.50

Check access

doi:10.1016/j.acuroe.2011.05.001
Refers To

Get rights and content

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)

Abstract
Context
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.
Objective
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.
Conclusions
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
infections.

Resumen
Contexto
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
http://www.sciencedirect.com/science/article/pii/S2173578612000248

1/4

26/8/2015

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.
Objetivo
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.
Conclusiones
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.

Keywords
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.
About ScienceDirect
Terms and conditions

Contact and support

Privacy policy

Copyright 2015 Elsevier B.V. or its licensors or contributors. ScienceDirect is a registered trademark of
Elsevier B.V.
Cookies are used by this site. To decline or learn more, visit our Cookies page.

Switch to Mobile Site

R e co m m e n d e d a rti cl e s

La infeccin urinaria y su prevencin

2012, Actas Urolgicas Espaolas

m ore

Urinary tract infection

2011, Medicine

m ore

Urinary tract infectionscurrent management

2011, Apollo Medicine

m ore

View more articles

C i ti n g a rti cl e s (0 )

R e l a te d b o o k co n te n t

http://www.sciencedirect.com/science/article/pii/S2173578612000248

2/4

26/8/2015

http://www.sciencedirect.com/science/article/pii/S2173578612000248

Urinary tract infections and their prevention

3/4

26/8/2015

http://www.sciencedirect.com/science/article/pii/S2173578612000248

Urinary tract infections and their prevention

4/4