Factores potenciales que estarían incidiendo en el manejo clínico de la infección recurrente de las vías urinarias.

Abstract

Introduction: recurrent infection of the urinary tract caused by Escherichia coli and other bacterial pathogens that invade the urinary tract. Objectives: To determine the factors that affect the clinical management of recurrent urinary tract infection in women by reviewing scientific papers that influence the chronicity of it. Materials and Methods: exhaustive search was conducted in PubMed database, Cochrane, Scielo, updated clinical practice guidelines among others, by meta-analyzes scientific papers published in journals indexed over the past 5 years. Results: based on the review upgraded items 95% of urinary infection was established is caused by Escherichia coli and Klebsiella followed species with 3 -20% addition Gram positive and negative bacteria.develop symptoms for several days despite receiving antibiotic therapy; and 20-30% with reinfection urinary tract by bacterial and host factors causing antimicrobial resistance such as quinolones, cephalosporins, aminoglycosides, penicillins and monobactams through the interaction of beta-lactamase enzymes that cause injury to clinical management. Conclusion: risk factors predisposing to recurrence of UTI are associated with the presence of virulence, pathogenicity, antimicrobial resistance and related aspects of the host.