Recurrent urinary tract infections (rUTIs) represent the most common cause of bacterial infection and affect 5 to 10% of women. They occur when a bacteria (or other microorganism) enters in our body and multiplies causing the infection.
The most common symptoms are: pain or burning, frequent urination, cloudy or strong-smelling urine, and in some cases, blood in the urine.
The microorganisms with the highest aetiological incidence in rUTIs are: Escherichia coli, Staphylococcus saprophyticus, Enterococcus faecalis, Klebsiella pneumoniae and Proteus vulgaris.
Antibiotic prophylaxis, the main strategy used, can generate antimicrobial resistance. For this reason, the European Association of Urology advises the use of therapeutic strategies other than antibiotics to control the development of resistance in recurrent urinary tract infection.
The use of autovaccines or bacterial vaccines is a therapeutic option in the treatment and prevention of recurrent urinary tract infections. However, it is important that you always consult the different alternatives with your specialist.
In addition, you can follow some tips to reduce the occurrence of these episodes:
- Drink enough water: Staying hydrated is critical to maintaining a healthy urinary system.
- Urinate frequently to prevent bacteria from multiplying in the urinary tract.
- Maintain good personal hygiene.
- Avoid using irritating products. Opt for mild hypoallergenic products.
- Wear cotton underwear.
Bibliography:
- Cox, CE, Lacy, SS y Hinman, F. Jr. (1968). La uretra y su relación con la infección del tracto urinario. II. La flora uretral de la mujer con infección urinaria recurrente. J. Urol. 99, 632–638.
- Palou J, Pigrau C, Molina I, Ledesma JM, Angulo J. Etiología y sensibilidad de los uropatógenos identificados en infecciones urinarias bajas no complicadas de la mujer (Estudio ARESC): implicaciones en la terapia empírica. Med Clin (Barc). 2011;136(1):1–7.
- EAU Guidelines. Edn. presented at the EAU Annual Congress Milan, Italy 2023. ISBN 978-94-92671-19-6.
