Recurrent urinary tract infections Urinary infections

The term urinary infection is often used to denote uncomplicated acute cystitis. The occurrence of urinary infections in women is frequent and facilitated by the female anatomy (vaginal flora, short and rectilinear urethra).

The diagnosis is usually made on the basis of clinical and possibly confirmed by a simple urine or uroculture analysis to identify the microorganism in question. The most frequently isolated bacteria is Escherichia coli (70-95%); the presence of other may suggest the necessity for further investigation.

When episodes become frequent, it may be important to investigate possible causes of recurrent urinary infections, given that certain underlying factors may be the target of targeted therapy in order to avoid recurrence of episodes (eg, urinary tract infections, prolapse of pelvic organs and malfunction of the lower urinary tract).

The correct evaluation and institution of therapeutics can prevent complications, namely the development of renal infection (pyelonephritis), by upward propagation of the microorganism.

If no identifiable cause is found, treatment may be by pharmacological treatment or with dietary supplements aimed at reducing the ability of bacteria to adhere to the urinary tract and, as a consequence, cause infection.

Currently, there are also solutions aimed at strengthening the urinary system, oral vaccines, namely specific immunoprophylaxis against the agents that most often cause infections.