Urinary tract infections in outpatient practice


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Abstract

The most frequent urinary tract infections (UTIs) encountered in outpatient practice include asymptomatic bacteriuria, cystitis and pyelonephritis. Treatment of these diseases should be comprehensive and include antibacterial therapy NSAIDs, immunotropic therapy, and phytotherapy. The choice of antibacterial therapy is influenced by the nature of the infection (AB, cystitis, pyelonephritis) and the type of pathogen. During pregnancy, antibacterial drugs of certain groups and in a certain trimester can be used. With the recurrent nature of the infection, immunotropic therapy is indicated. Phytotherapy is used only as a component of complex treatment of UTIs. Choice of a phytopreparation should be based on the presence of pregnancy, urine acidity, and the chemical composition of salts or stones.

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About the authors

Yevgeny I. Karpov

City polyclinic №6; Ryazan Medical centre "Harmony"

Email: urologkarpov@yandex.ru
PhD, City polyclinic №6; chief doctor of Medical centre «Harmony». Ryazan

References

  1. Малкоч А.В., Филатова Н.Н. Инфекция мочевых путей и роль фитопрепаратов в ее комплексной терапии. Лечащий врач. 2015;3:1-4. [Malkoch A.V., Filatovа N.N. Urinary tract infection and the role of herbal medicine in its holistic therapy. Lechashchy vrach. 2015;3:1-4 (in Russ.)]
  2. Nicolle L.E. Managing recurrent urinary tract infections in women. Women's health. 2005;1:39-50.
  3. Карпов Е.И., Ананьин А.М., Ананьин Б.А. и др. Урология и беременность. Методическое пособие. 3-е изд., дополн. М.: РусБланк, 2017. 102 с. [Karpov Ye.I., Anan'in A.M., Anan'in B.A. et al. Urology and pregnancy. Methodical manual. 3rd ed. Moscow: RusBlank, 2017. 102 p. (in Russ.)]
  4. EAU Guidelines on urological infections http://uroweb.org/guideline/urological-infections/#3
  5. Nicolle L.E., Bradley S., Colgan R., Rice J.C., Schaeffer A., Hooton T.M. Infectious diseases of America guidelines for the diagnosis and treatment of asymptomatic bacteriuria in adults. Clin. Infect. Dis. 2005;40:643-54.
  6. Урология. Российские клинические рекомендации. Под ред. Ю.Г. Аляева, П.В. Глыбочко, Д.Ю. Пушкаря. М.: ГЭОТАР-Медиа, 2016. 496 с. [Urology. Russian clinical recommendations. Ed. by Yu.G. Alyaev, P.V., Glybochko, D.Yu. Pushkar. Moscow: GEOTAR-Media, 2016. 496 p. (in Russ.)]
  7. Foxman B. Epidemiology of urinary tract infections: incidence, morbidity, and economic costs. Dis. Mon. 2003;49:53-70.
  8. Лоран О.Б. Хронический цистит у женщин. Врач. 1996;8:6-9. [Loran O.B. Chronic cystitis in women. Vrach. 1996;8:6-9 (in Russ.)]
  9. Руководство по урологии. Под ред. Н.А. Лопаткина. М.: Медицина, 1998. 304 с. [Manual of urology. Ed. by N.A. Lopatkin. Moscow: Medicine, 1998. 304 p. (in Russ.)]
  10. Лопаткин Н.А., Аполихин О.И., Пушкарь Д.Ю. и др. Российские национальные рекомендации «Антимикробная терапия и профилактика инфекций почек, мочевыводящих путей и мужских половых органов». М., 2014. [Lopatkin N.A., Apolikhin O.I., Pushkar D.Yu. et al. Russian national guidelines «Antimicrobial therapy and prevention of infections of kidneys, urinary tracts and male genital organs». Moscow, 2014 (in Russ.)]
  11. Урология: национальное руководство. Под. ред. Н.А. Лопаткина. М.: ГЭОТАР-Медиа, 2009. 1024 с. [Urology: national manual. Ed. by N.A. Lopatkin. Moscow: GEOTAR-Media, 2009. 1024 p. (in Russ.)]
  12. Antman E.M., Bennett J.S., Daugherty A., Furberg C., Roberts H., Taubert K.A. Use of nonsteroidal antiinflammatory drugs: an update for clinicians: a scientific statement from the American Heart Association. Circulation. 2007;1 15:1634-42.
  13. Conaghan P.G. A turbulent decade for NSAIDs: update on current concepts of classification, epidemiology, comparative efficacy, and toxicity. Rheumatol. Int. 2012;32:1491-502.
  14. Warner T.D., Mitchell J.A. Cyclooxygenases: new forms, new inhibitors, and lessons from the clinic. FASEB J. 2004;18:790-804.
  15. Завражнов В.И., Китаева Р.И., Хмелев К.Ф. Лекарственные растения: лечебное и профилактическое использование. Воронеж: Издательство Воронежского университета, 1993. 480 с. [Zavrazhnov V.I., Kitaev R.I., Khmelev K.F. Medicinal plants: therapeutic and prophylactic use. Voronezh: Publishing house of Voronezh University, 1993. 480 p. (in Russ.)]

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