Vaccines in the treatment of recurrent urinary tract infections

Recurrent infections are a widespread global health problem in paediatric and adult patients. Treatment, usually with antibiotics, can lead to the development of antibiotic and antimicrobial resistance, leading to more difficult-to-treat infections and increased mortality.

Recurrent urinary tract infections (rUTIs) represent the most common cause of bacterial infection and affect 5-10% of women.

Micro-organisms with the highest aetiological incidence:

  • Escherichia coli.
  • Staphylococcus saprophyticus.
  • Enterococcus faecalis.
  • Klebsiella pneumoniae.
  • Proteus mirabilis.

How do vaccine treatments defend us?

  • Broader protection. It confers broader protection, not only against the pathogens contained in vaccines, but also against any other pathogens.
  • Activation of innate immune cells. Improving host defense by developing a trained immunity.
  • Enhancing the immune response. Improves the function of both innate and adaptive immune responses.
  • Generate immunological memory. In the medium and long term in the individual.

Bibliography:

  • Resistencia a los antimicrobianos. (2020). Recuperado 17 de junio de 2021, de https://www.who.int/es/news-room/fact-sheets/detail/antimicrobial-resistance
  • 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
  • Sánchez-Ramón et al. (2018) Frontiers in inmunology.
  • Bindu S, Dandapat S, Manikandan R, Dinesh M, Subbaiyan A, Mani P, Dhawan M, Tiwari R, Bilal M, Emran TB, Mitra S, Rabaan AA, Mutair AA, Alawi ZA, Alhumaid S, Dhama K. Prophylactic and therapeutic insights into trained immunity: A renewed concept of innate immune memory. Hum Vaccin Immunother. 2022 Dec 31;18(1):2040238. doi: 10.1080/21645515.2022.2040238. Epub 2022 Mar 3. PMID: 35240935; PMCID: PMC9009931.
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