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Journal of Education, Health and Sport

Antibiotic and non-antibiotic treatment of urinary tract infections in the era of growing antimicrobial resistance
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Antibiotic and non-antibiotic treatment of urinary tract infections in the era of growing antimicrobial resistance

Authors

  • Sara Wawrysiuk Medical University of Lublin https://orcid.org/0000-0003-3466-2478
  • Małgorzata Żebrowska Medical University of Lublin https://orcid.org/0000-0001-6093-3599

DOI:

https://doi.org/10.12775/JEHS.2020.10.09.044

Keywords

urinary infection, antibiotics, antibiotic resistance

Abstract

Urinary tract infection is one of the most common indications for prescribing antibiotics among otherwise healthy patients. The lifetime risk of having urinary tract infection among the female population reaches up to 50%. Empirical antibiotic therapy is the first line of treatment in uncomplicated cases. Bacterial resistant to antibiotics is constantly increasing and it is resulting in the evolvement of multidrug-resistant pathogens but also causes a limitation in empirical treatment options. Due to growing antimicrobial resistance, local antimicrobial susceptibility patterns should always be considered especially when empirical treatment is introduced. The article shows the ongoing need for updates in local resistance patterns. Recommendations for the empirical treatment should be constantly verified with reference to the local antimicrobial resistance status. Non-antibiotic preparations may be useful only in the prevention of urinary tract infections.

Author Biographies

Sara Wawrysiuk, Medical University of Lublin

Second Gynecology Department, Medical University of Lublin, resident doctor

Małgorzata Żebrowska, Medical University of Lublin

Chair and Department of Otolaryngology and Laryngological Oncology

References

Gupta K, Hooton TM, Naber KG, et al, International Clinical Practice Guidelines for the Treatment of Acute Uncomplicated Cystitis and Pyelonephritis in Women: A 2010 Update by the Infectious Diseases Society of America and the European Society for Microbiology and Infectious Diseases, Clinical Infectious Diseases, Volume 52, Issue 5, 1 March 2011, Pages e103–e120.

Griebling TL, “Urologic diseases in America project: trends in resource use for urinary tract infections in women,” The Journal of Urology, vol. 173, no. 4, pp. 1281–1287, 2005.

Miotla P, Romanek-Piva K, Bogusiewicz M, Markut-Miotla E, Adamiak A, Wróbel A, Zebrowska M, Wawrysiuk S, Mendyk K, Rechberger E, Jakubczak A, Rechberger T (2017) Antimicrobial resistance patterns in women with positive urine culture: does menopausal status make a significant difference? Biomed Res Int 2017:4192908

Naber KG, “Efficacy and safety of the phytotherapeutic drug Canephron

Wagenlehner FM, Abramov-Sommariva D, Höller M, Steindl H, Naber KG (2018) Non-Antibiotic Herbal Therapy (BNO 1045) versus antibiotic therapy (Fosfomycin Trometamol) for the treat- ment of acute lower uncomplicated urinary tract infections in women: a double-blind, parallel-group, randomized, multicentre non-inferiority phase III trial. Urol Int 101:327–336

Jepson RG, Williams G, Craig JC (2012) Cranberries for prevent- ing urinary tract infections. Cochrane Database Syst Rev.

Beerepoot MA, ter Riet G, Nys S, van der Wal WM, de Bor- gie CA, de Reijke TM et al (2012) Lactobacilli vs antibiotics to prevent urinary tract infections: a randomized, double-blind, noninferiority trial in postmenopausal women. Arch Intern Med 172:704–712

Caretto M, Giannini A, Russo E, Simoncini T (2017) Prevent-

ing urinary tract infections after menopause without antibiotics.

Maturitas 99:43–46

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Published

2020-09-18

How to Cite

1.
WAWRYSIUK, Sara and ŻEBROWSKA, Małgorzata. Antibiotic and non-antibiotic treatment of urinary tract infections in the era of growing antimicrobial resistance. Journal of Education, Health and Sport. Online. 18 September 2020. Vol. 10, no. 9, pp. 378-381. [Accessed 23 May 2025]. DOI 10.12775/JEHS.2020.10.09.044.
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Issue

Vol. 10 No. 9 (2020)

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Articles

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The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0

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