Urinary tract infections in pregnant women: prevention and treatment


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Abstract

Urinary tract infections (UTIs) are a common infectious disease during pregnancy, while the range of effective and safe medications for the mother and fetus is limited. Objective. To assess current concepts on the etiology, pathogenesis, clinical presentations, diagnosis, and treatment of UTIs in pregnant women. Material and methods. Publications by Russian and foreign authors were reviewed and analyzed. Results. Particular attention is paid to the classification of UTIs, to their predisposing factors, etiology, pathogenesis, and diagnosis during pregnancyy, to the impact of UTIs on the development of pregnancy complications and fetal diseases, and to antimicrobial therapy policy. Emphasis is laid on the need for the prevention and combination treatment of asymptomatic bacteriuria in pregnant women and there is evidence that the large cranberry (Vaccinium macrocarpon) drug phytolysin prenatal should be used to prevent recurrent UTIs during pregnancy. Conclusion. The timely diagnosis and rational therapy of UTIs in pregnant women can reduce the risk of recurrences and pregnancy complications.

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About the authors

Irina Viktorovna Bakhareva

N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia

Email: iribakhareva@yandex.ru
MD, Professor of the Department of Obstetrics and Gynecology of the Faculty of Physiotherapy

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