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Recurrent Escherichia coli Urinary Tract Infection Triggered by Gardnerella vaginalis Bladder Exposure in Mice
Published on: December 4, 2020
[Bacterial and fungal urinary tract infections: epidemiology, pathogenesis and clinical management]
Eleonora Zamparini1, Pierluigi Viale
1Clinica di Malattie Infettive, Policlinico S. Orsola, Malpighi, Bologna - Italy.
Abstract:
Urinary tract infections (UTIs) are the most common bacterial infections and represent a significant problem both from an epidemiological and clinical point of view. Moreover, they place a substantial financial burden on society. UTIs can be asymptomatic or symptomatic and are characterized by a wide spectrum of symptoms ranging from mild irritative voiding to bacteremia, sepsis, severe sepsis or septic shock. They may occur in a normal genitourinary tract with no prior instrumentation (uncomplicated infections) or in genitourinary tracts with structural or functional abnormalities, or in patients with specific risk factors (complicated infections). In the hospital setting bacterial and fungal UTIs are strongly related to the use and misuse of indwelling urinary catheters. Catheter-related UTIs increase morbidity, mortality and costs and constitute an efficient reservoir for multidrug-resistant bacteria.
Insights
Urinary tract infections (UTIs) are common bacterial infections causing significant health and financial burdens. Catheter-associated UTIs in hospitals worsen outcomes and promote resistant bacteria.
Area of Science:
- Infectious Diseases
- Urology
- Public Health
Context:
- Urinary tract infections (UTIs) are the most prevalent bacterial infections globally.
- UTIs pose significant epidemiological, clinical, and economic challenges.
- Infections range from asymptomatic to life-threatening conditions like sepsis.
Purpose:
- To review the epidemiology, clinical presentation, and complications of UTIs.
- To highlight the specific challenges posed by catheter-related UTIs in healthcare settings.
- To underscore the role of UTIs in the spread of multidrug-resistant bacteria.
Summary:
- UTIs encompass a broad spectrum of illness, affecting individuals with normal or abnormal genitourinary tracts.
- Complicated UTIs are associated with structural abnormalities, functional issues, or risk factors.
- Hospital-acquired UTIs, particularly those linked to urinary catheters, are associated with increased morbidity, mortality, and healthcare costs.
Impact:
- Understanding UTI complexities is crucial for effective patient management and public health strategies.
- Addressing catheter-associated UTIs is vital to reduce healthcare-associated infections and antimicrobial resistance.
- Effective UTI management strategies can mitigate substantial societal financial burdens.
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