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CC BY-NC-ND 4.0 · Revista Urología Colombiana / Colombian Urology Journal 2021; 30(02): 123-134
DOI: 10.1055/s-0040-1721323
Review Article | Artículo de Revisión

Infección de vías urinarias no complicada en mujeres

Uncomplicated urinary tract infections in women
Ana María Becerra
1   Departamento de Urología, Hospital Universitario Fundación Santa Fe de Bogotá, Facultad de Medicina, Universidad de Los Andes, Bogotá, Colombia
,
Daniel Parra
1   Departamento de Urología, Hospital Universitario Fundación Santa Fe de Bogotá, Facultad de Medicina, Universidad de Los Andes, Bogotá, Colombia
,
Carlos Gustavo Trujillo
1   Departamento de Urología, Hospital Universitario Fundación Santa Fe de Bogotá, Facultad de Medicina, Universidad de Los Andes, Bogotá, Colombia
,
Julián Azuero
1   Departamento de Urología, Hospital Universitario Fundación Santa Fe de Bogotá, Facultad de Medicina, Universidad de Los Andes, Bogotá, Colombia
,
Sandra García
1   Departamento de Urología, Hospital Universitario Fundación Santa Fe de Bogotá, Facultad de Medicina, Universidad de Los Andes, Bogotá, Colombia
,
Fabián Daza
1   Departamento de Urología, Hospital Universitario Fundación Santa Fe de Bogotá, Facultad de Medicina, Universidad de Los Andes, Bogotá, Colombia
,
Mauricio Plata 
1   Departamento de Urología, Hospital Universitario Fundación Santa Fe de Bogotá, Facultad de Medicina, Universidad de Los Andes, Bogotá, Colombia
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Resumen

La infección de vías urinarias (IVU) es una patología común, que afecta a gran parte de la población y que generalmente se resuelve con manejo antibiótico. Se compone de una amplia variedad de entidades clínicas que pueden variar desde una cistitis no complicada hasta un shock séptico de origen urinario. Los patógenos etiológicos de la IVU no complicada están ampliamente establecidos y se han mantenido de forma consistente a lo largo del tiempo, siendo la Escherichia coli el microorganismo más predominante. En la actualidad, la resistencia bacteriana a los antibióticos es de gran preocupación y por esa razón, se busca optimizar la terapia antimicrobiana con el fin de disminuir la estancia hospitalaria, la severidad clínica de la infección y los costos a los sistemas de salud. La presente revisión, tiene como objetivo servir como guía para la correcta definición, clasificación, diagnóstico, tratamiento y prevención de la IVU no complicada.

Abstract

A urinary tract infection (UTI) is a common pathology, that affects a large part of the population and generally resolves with antibiotic treatment. It embraces a variety of clinical entities that can vary from uncomplicated cystitis to septic shock. The etiological pathogens of uncomplicated UTI are widely established and have been consistent over time, with Escherichia coli being the most predominant microorganism. Currently, bacterial resistance to antibiotics is of great concern and for this reason we seek to optimize antimicrobial therapy in order to decrease hospital stay, clinical severity of the infection and costs to the health systems. The purpose of this review is to serve as a guide for the correct definition, classification, diagnosis, treatment and prevention of uncomplicated UTI.

Palabras clave

infección - tracto urinario - cistitis no complicada - resistencia - prevención - terapia antibiótica

Keywords

infection - urinary tract - uncomplicated cystitis - resistance - prevention - antibiotic treatment


Publication History

Received: 20 July 2020

Accepted: 01 September 2020

Article published online:
04 February 2021

© 2021. Sociedad Colombiana de Urología. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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