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Which Antibiotic for Urinary Tract Infections in Pregnancy? A Literature Review of International Guidelines

Urinary tract infection (UTI) is considered to be a major problem in pregnant women. It is also one of the most prevalent infections during pregnancy, being diagnosed in as many as 50–60% of all gestations. Therefore, UTI treatment during pregnancy is extremely important and management guidelines ha...

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Autores principales: Corrales, Mariela, Corrales-Acosta, Elizabeth, Corrales-Riveros, Juan Guillermo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9740524/
https://www.ncbi.nlm.nih.gov/pubmed/36498799
http://dx.doi.org/10.3390/jcm11237226
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author Corrales, Mariela
Corrales-Acosta, Elizabeth
Corrales-Riveros, Juan Guillermo
author_facet Corrales, Mariela
Corrales-Acosta, Elizabeth
Corrales-Riveros, Juan Guillermo
author_sort Corrales, Mariela
collection PubMed
description Urinary tract infection (UTI) is considered to be a major problem in pregnant women. It is also one of the most prevalent infections during pregnancy, being diagnosed in as many as 50–60% of all gestations. Therefore, UTI treatment during pregnancy is extremely important and management guidelines have been published worldwide to assist physicians in selecting the right antibiotic for each patient, taking into account the maternal and fetal safety profile. A review of the literature was carried out and all international guidelines giving recommendations about antibiotic treatments for pregnancy-related UTI were selected. The search came back with 13 guidelines from 4 different continents (8 from Europe, 3 from South America, 1 from North America and 1 from Oceania). Our review demonstrated concordance between guidelines with regard to several aspects in the antibiotic treatment of UTI during pregnancy and in the follow-up after treatment. Nonetheless, there are some areas of discordance, as in the case of antenatal screening for bacteriuria and the use of fluoroquinolones in lower or upper UTI. Given the current evidence that we have from international guidelines, they all agree on several key points about antibiotic use.
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spelling pubmed-97405242022-12-11 Which Antibiotic for Urinary Tract Infections in Pregnancy? A Literature Review of International Guidelines Corrales, Mariela Corrales-Acosta, Elizabeth Corrales-Riveros, Juan Guillermo J Clin Med Review Urinary tract infection (UTI) is considered to be a major problem in pregnant women. It is also one of the most prevalent infections during pregnancy, being diagnosed in as many as 50–60% of all gestations. Therefore, UTI treatment during pregnancy is extremely important and management guidelines have been published worldwide to assist physicians in selecting the right antibiotic for each patient, taking into account the maternal and fetal safety profile. A review of the literature was carried out and all international guidelines giving recommendations about antibiotic treatments for pregnancy-related UTI were selected. The search came back with 13 guidelines from 4 different continents (8 from Europe, 3 from South America, 1 from North America and 1 from Oceania). Our review demonstrated concordance between guidelines with regard to several aspects in the antibiotic treatment of UTI during pregnancy and in the follow-up after treatment. Nonetheless, there are some areas of discordance, as in the case of antenatal screening for bacteriuria and the use of fluoroquinolones in lower or upper UTI. Given the current evidence that we have from international guidelines, they all agree on several key points about antibiotic use. MDPI 2022-12-05 /pmc/articles/PMC9740524/ /pubmed/36498799 http://dx.doi.org/10.3390/jcm11237226 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Corrales, Mariela
Corrales-Acosta, Elizabeth
Corrales-Riveros, Juan Guillermo
Which Antibiotic for Urinary Tract Infections in Pregnancy? A Literature Review of International Guidelines
title Which Antibiotic for Urinary Tract Infections in Pregnancy? A Literature Review of International Guidelines
title_full Which Antibiotic for Urinary Tract Infections in Pregnancy? A Literature Review of International Guidelines
title_fullStr Which Antibiotic for Urinary Tract Infections in Pregnancy? A Literature Review of International Guidelines
title_full_unstemmed Which Antibiotic for Urinary Tract Infections in Pregnancy? A Literature Review of International Guidelines
title_short Which Antibiotic for Urinary Tract Infections in Pregnancy? A Literature Review of International Guidelines
title_sort which antibiotic for urinary tract infections in pregnancy? a literature review of international guidelines
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9740524/
https://www.ncbi.nlm.nih.gov/pubmed/36498799
http://dx.doi.org/10.3390/jcm11237226
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