{"id":1393,"date":"2025-05-26T08:55:05","date_gmt":"2025-05-26T08:55:05","guid":{"rendered":"https:\/\/urolistic.com\/?p=1393"},"modified":"2025-05-27T08:06:15","modified_gmt":"2025-05-27T08:06:15","slug":"hablemos-de-recomendaciones-sobre-las-infecciones-de-orina","status":"publish","type":"post","link":"https:\/\/urolistic.com\/fr\/blog\/2025\/05\/26\/hablemos-de-recomendaciones-sobre-las-infecciones-de-orina\/","title":{"rendered":"Parlons des recommandations sur les infections urinaire"},"content":{"rendered":"
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En termes de pr\u00e9vention, les recommandations de pratique clinique des diff\u00e9rentes soci\u00e9t\u00e9s m\u00e9dicales ont classiquement abord\u00e9 le probl\u00e8me par des recommandations d'hygi\u00e8ne (principalement bas\u00e9es sur l'hygi\u00e8ne intime, boire beaucoup, corriger la constipation, uriner imm\u00e9diatement apr\u00e8s le rapport sexuel, etc.), la correction des facteurs de risque comme le traitement de la vidange v\u00e9sicale incompl\u00e8te, ainsi que la prise d'antibiotiques pr\u00e9ventifs dans certains cas (prophylaxie nocturne, prophylaxie post-co\u00eftale, prophylaxie hebdomadaire, etc.) Cependant, comme le soulignent ces m\u00eames recommandations cliniques, l'efficacit\u00e9 de ces mesures est pour le moins limit\u00e9e. De m\u00eame, aucune de ces directives ne mentionne en d\u00e9tail les changements profonds du mode de vie, les types d'aliments \u00e0 recommander ou \u00e0 \u00e9viter, et peu de suppl\u00e9ments ou de substances naturelles (phytoth\u00e9rapie, hom\u00e9opathie, huiles essentielles) y sont mentionn\u00e9s, \u00e0 l'exception peut-\u00eatre de la canneberge et du D-mannose en particulier. D'autres comme l'acide hyaluronique, la berb\u00e9rine et la pr\u00eale sont mentionn\u00e9s, mais de fa\u00e7on marginale. Depuis quelques ann\u00e9es, l'utilisation de probiotiques (compl\u00e9ments compos\u00e9s de microbes, principalement des bact\u00e9ries, qui ne sont pas agressifs envers l'homme et ont des effets b\u00e9n\u00e9fiques) commence \u00e0 \u00eatre mentionn\u00e9e dans ces guides, bien que sans preuves scientifiques suffisantes pour l'instant.<\/p>\n\n

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En termes de traitement, hormis certaines mesures de soutien telles que boire beaucoup de liquide ou prendre des antipyr\u00e9tiques en cas de fi\u00e8vre (comme le parac\u00e9tamol, par exemple), les lignes directrices cliniques sont bas\u00e9es sur l'utilisation d'antibiotiques comme seul traitement antimicrobien possible. \u00c0 une \u00e9poque o\u00f9 la r\u00e9sistance microbienne devient de plus en plus fr\u00e9quente et grave, l'utilisation des antibiotiques devrait \u00eatre rationalis\u00e9e autant que possible et n'\u00eatre envisag\u00e9e qu'en cas de stricte n\u00e9cessit\u00e9. Il est donc urgent de trouver des mesures efficaces pour r\u00e9duire l'incidence des infections urinaires, bas\u00e9es principalement sur l'\u00e9ducation et la responsabilisation de la population \u00e0 risque, plut\u00f4t que sur un point de vue \"m\u00e9decin-d\u00e9pendant\".<\/p>\n\n

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Bibliographie :<\/em><\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Medical Student Curriculum: Adult UTI. https:\/\/www.auanet.org\/ education\/auauniversity\/for-medical-students\/medical-students-curriculum\/medical-student-curriculum\/adult-uti<\/p>\n

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Bonkat, G. et al. EAU guidelines on urological infections. 22-26 (European Association of Urology, 2017).<\/p>\n

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Nicolle LE, et al. Clinical practice guideline for the management of asymptomatic bacteriuria: 2019 update by the Infectious Diseases Society of America.\u00a0Clin. Infect. Dis.\u00a02019;68:1611\u20131615.\u00a0<\/p>\n

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Colgan R, Nicolle LE, McGlone A, Hooton TM. Asymptomatic bacteriuria in adults.\u00a0Am. Fam. Physician.\u00a02006;74:985\u2013990.<\/p>\n

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Darouiche RO, et al. Pilot trial of bacterial interference for preventing urinary tract infection.\u00a0Urology.\u00a02001;58:339\u2013344.<\/p>\n

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Sunden F, Hakansson L, Ljunggren E, Wullt B.\u00a0Escherichia coli<\/em>\u00a083972 bacteriuria protects against recurrent lower urinary tract infections in patients with incomplete bladder emptying.\u00a0J. Urol.\u00a02010;184:179\u2013185.\u00a0<\/p>\n

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Hull R, et al. Urinary tract infection prophylaxis using\u00a0Escherichia coli<\/em>\u00a083972 in spinal cord injured patients.\u00a0J. Urol.\u00a02000;163:872\u2013877.\u00a0<\/p>\n

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Darouiche RO, Thornby JI, Cerra-Stewart C, Donovan WH, Hull RA. Bacterial interference for prevention of urinary tract infection: a prospective, randomized, placebo-controlled, double-blind pilot trial.\u00a0Clin. Infect. Dis.\u00a02005;41:1531\u20131534<\/p>\n

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Medina M, Castillo-Pino E. An introduction to the epidemiology and burden of urinary tract infections. Ther Adv Urol. 2019 May 2;11:1756287219832172.<\/p>\n

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Bonkat G et al. EAU guidelines on urological infections 2021. ISBN 978-94-92671-13-4<\/p>\n

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Buettcher M, Trueck J, Niederer-Loher A, Heininger U, Agyeman P, et al. Swiss consensus recommendations on urinary tract infections in children. Eur J Pediatr. 2021 Mar;180(3):663-674.\u00a0<\/p>\n

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Flores-Mireles AL, Walker JN, Caparon M, Hultgren SJ. Urinary tract infections: epidemiology, mechanisms of infection and treatment options. Nat Rev Microbiol. 2015 May;13(5):269-84.\u00a0<\/p>\n

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Schwaderer AL, Wolfe AJ. The association between bacteria and urinary stones. Ann Transl Med. 2017 Jan;5(2):32.\u00a0<\/p>\n

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Struve C, Bojer M, Krogfelt KA. Characterization of Klebsiella pneumoniae type 1 fimbriae by detection of phase variation during colonization and infection and impact on virulence. Infect Immun. 2008 Sep;76(9):4055-65.<\/p>\n

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Ravel J, Gajer P, Abdo Z, Schneider GM, Koenig SS, et al. Vaginal microbiome of reproductive-age women. Proc Natl Acad Sci U S A. 2011 Mar 15;108 Suppl 1(Suppl 1):4680-7.<\/p>\n

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Blethyn AJ, Jenkins HR, Roberts R, Verrier Jones K. Radiological evidence of constipation in urinary tract infection. Arch Dis Child. 1995 Dec;73(6):534-5. doi: 10.1136\/adc.73.6.534. PMID: 8546513; PMCID: PMC1511452.<\/p>\n

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Thurmon KL, Breyer BN, Erickson BA. Association of bowel habits with lower urinary tract symptoms in men: findings from the 2005-2006 and 2007-2008 National Health and Nutrition Examination Survey. J Urol. 2013 Apr;189(4):1409-14. doi: 10.1016\/j.juro.2012.10.008. Epub 2012 Oct 11. PMID: 23063806; PMCID: PMC3693946.<\/p>\n

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https:\/\/www.niddk.nih.gov\/health-information\/digestive-diseases\/constipation<\/a><\/p>\n

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Anger J, Lee U, Ackerman AL, Chou R, Chughtai B, et al. Recurrent Uncomplicated Urinary Tract Infections in Women: AUA\/CUA\/SUFU Guideline. J Urol. 2019 Aug;202(2):282-289.<\/p>\n

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Kontiokari T, Nuutinen M, Uhari M. Dietary factors affecting susceptibility to urinary tract infection. Pediatr Nephrol. 2004 Apr;19(4):378-83.\u00a0<\/p>\n

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Foxman B, Frerichs RR. Epidemiology of urinary tract infection: II. Diet, clothing, and urination habits. Am J Public Health. 1985 Nov;75(11):1314-7.\u00a0<\/p>\n

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Hoen LA, Bogaert G, Radmayr C, Dogan HS, Nijman RJM, Quaedackers J, Rawashdeh YF, Silay MS, Tekgul S, Bhatt NR, Stein R. Update of the EAU\/ESPU guidelines on urinary tract infections in children. J Pediatr Urol. 2021 Apr;17(2):200-207.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"

En lo que se refiere a la prevenci\u00f3n, las gu\u00edas de pr\u00e1ctica cl\u00ednica de las\u00a0 diferentes sociedades m\u00e9dicas han abordado cl\u00e1sicamente el problema\u00a0 con recomendaciones higi\u00e9nicas [\u2026]<\/span><\/p>\n","protected":false},"author":1,"featured_media":1550,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-1393","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-salud-urologica"],"yoast_head":"\nHablemos de recomendaciones\u00a0 sobre las infecciones de orina | Urolistic<\/title>\n<meta name=\"description\" content=\"Redescubre el bienestar con Urolistic, el proyecto de la Dra. 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