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Title: CONSENSO ARGENTINO INTERSOCIEDADES DE INFECCIÓN URINARIA 2018-2019 - PARTE I.
Alternate Title: Argentine Intersociety Consensus on Urinary Infection 2018-2019 - Part I.
Authors: NEMIROVSKY, CORINA1 corina.nemirovsky@hospitalitaliano.org.ar, LÓPEZ FURST, MARÍA JOSÉ1, PRYLUKA, DANIEL1, DE VEDIA, LAUTARO1, SCAPELLATO, PABLO1, COLQUE, ANGEL1, BARCELONA, LAURA1, DESSE, JAVIER1, CARADONTI, MATÍAS2, VARCASIA, DANIEL2, IPOHORSKI, GABRIEL3, VOTTA, ROBERTO4, ZYLBERMAN, MARCELO5, ROMANI, ADRIANA5, VALDEZ, PASCUAL5, PENINI, MAGDALENA6, DE PAULIS, ADRIANA6, LUCERO, CELESTE7, SANDOR, ANDRÉS1, CONTRERAS, ROSITA1
Source: Revista Medicina. May/Jun2020, Vol. 80 Issue 3, p229-240. 12p.
Abstract (English): The Argentine Society of Infectious Diseases and other scientific societies have updated these recommendations based on data on urinary tract infections in adults obtained from a prospective multicenter study conducted in Argentina during 2016-2017. Asymptomatic bacteriuria should be treated only in pregnant women, who should also be systematically investigated; the antibiotics of choice are nitrofurantoin, amoxicillin, clavulanic/amoxicillin, cephalexin and trimethoprim-sulfamethoxazole. In procedures involving injury to the urinary tract with bleeding, it is recommended to request urine culture and, in the presence of bacteriuria, antimicrobial treatment according to sensitivity should be prescribed from immediately before up to 24 hours after the intervention. In women, cystitis can be treated with nitrofurantoin, cephalexin or fosfomycin, while trimethoprim-sulfamethoxazole and fluoroquinolones are not recommended; pyelonephritis can be treated with ciprofloxacin, cefixime or cephalexin in ambulatory women or ceftriaxone, cefazolin or amikacin in those who are hospitalized. In men, urinary tract infections are always considered complicated; nitrofurantoin or cephalexin are recommended for 7 days, alternatively fosfomycin should be given in a single dose. In men, ciprofloxacin, ceftriaxone or cefixime are suggested for pyelonephritis on ambulatory treatment whereas ceftriaxone or amikacin are recommended for hospitalized patients. Acute bacterial prostatitis can be treated with ceftriaxone or gentamicin. Fluoroquinolones were the choice treatment for chronic bacterial prostatitis until recently; they are no longer recommended due to the increasing resistance and recent concerns regarding the safety of these drugs; alternative antibiotics such as fosfomycin are to be considered. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): La Sociedad Argentina de Infectología y otras sociedades científicas han actualizado estas recomendaciones utilizando, además de información internacional, la de un estudio multicéntrico prospectivo sobre infecciones del tracto urinario del adulto realizado en Argentina durante 2016-2017. La bacteriuria asintomática debe ser tratada solo en embarazadas, a quienes también se las debe investigar sistemáticamente; los antibióticos de elección son nitrofurantoína, amoxicilina, amoxicilina-clavulánico, cefalexina y trimetoprimasulfametoxazol. Ante procedimientos que impliquen lesión con sangrado del tracto urinario se recomienda solicitar urocultivo para pesquisar bacteriuria asintomática, y, si resultara positivo, administrar antimicrobianos según sensibilidad desde inmediatamente antes hasta 24 horas luego de la intervención. En mujeres, la cistitis puede ser tratada con nitrofurantoina, cefalexina, o fosfomicina y no se recomienda usar trimetoprima-sulfametoxazol o fluoroquinolonas; en pielonefritis puede emplearse ciprofloxacina, cefixima o cefalexina si el tratamiento es ambulatorio o ceftriaxona, cefazolina o amikacina si es hospitalario. En los hombres, las infecciones del tracto urinario se consideran siempre complicadas. Se recomienda tratamiento con nitrofurantoina o cefalexina por 7 días, o bien monodosis con fosfomicina. Para la pielonefritis en hombres se sugiere ciprofloxacina, ceftriaxona o cefixima si el tratamiento es ambulatorio y ceftriaxona o amikacina si es hospitalario. Se sugiere tratar las prostatitis bacterianas agudas con ceftriaxona o gentamicina. En cuanto a las prostatitis bacterianas crónicas, si bien su tratamiento de elección hasta hace poco fueron las fluoroquinolonas, la creciente resistencia y ciertas dudas sobre la seguridad de estas drogas obligan a considerar el uso de alternativas como fosfomicina. [ABSTRACT FROM AUTHOR]
Copyright of Revista Medicina is the property of Revista Medicina and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Argentine Intersociety Consensus on Urinary Infection 2018-2019 - Part I.
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  Data: <searchLink fieldCode="AR" term="%22NEMIROVSKY%2C+CORINA%22">NEMIROVSKY, CORINA</searchLink><relatesTo>1</relatesTo><i> corina.nemirovsky@hospitalitaliano.org.ar</i><br /><searchLink fieldCode="AR" term="%22LÓPEZ+FURST%2C+MARÍA+JOSÉ%22">LÓPEZ FURST, MARÍA JOSÉ</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22PRYLUKA%2C+DANIEL%22">PRYLUKA, DANIEL</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22DE+VEDIA%2C+LAUTARO%22">DE VEDIA, LAUTARO</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22SCAPELLATO%2C+PABLO%22">SCAPELLATO, PABLO</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22COLQUE%2C+ANGEL%22">COLQUE, ANGEL</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22BARCELONA%2C+LAURA%22">BARCELONA, LAURA</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22DESSE%2C+JAVIER%22">DESSE, JAVIER</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22CARADONTI%2C+MATÍAS%22">CARADONTI, MATÍAS</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22VARCASIA%2C+DANIEL%22">VARCASIA, DANIEL</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22IPOHORSKI%2C+GABRIEL%22">IPOHORSKI, GABRIEL</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22VOTTA%2C+ROBERTO%22">VOTTA, ROBERTO</searchLink><relatesTo>4</relatesTo><br /><searchLink fieldCode="AR" term="%22ZYLBERMAN%2C+MARCELO%22">ZYLBERMAN, MARCELO</searchLink><relatesTo>5</relatesTo><br /><searchLink fieldCode="AR" term="%22ROMANI%2C+ADRIANA%22">ROMANI, ADRIANA</searchLink><relatesTo>5</relatesTo><br /><searchLink fieldCode="AR" term="%22VALDEZ%2C+PASCUAL%22">VALDEZ, PASCUAL</searchLink><relatesTo>5</relatesTo><br /><searchLink fieldCode="AR" term="%22PENINI%2C+MAGDALENA%22">PENINI, MAGDALENA</searchLink><relatesTo>6</relatesTo><br /><searchLink fieldCode="AR" term="%22DE+PAULIS%2C+ADRIANA%22">DE PAULIS, ADRIANA</searchLink><relatesTo>6</relatesTo><br /><searchLink fieldCode="AR" term="%22LUCERO%2C+CELESTE%22">LUCERO, CELESTE</searchLink><relatesTo>7</relatesTo><br /><searchLink fieldCode="AR" term="%22SANDOR%2C+ANDRÉS%22">SANDOR, ANDRÉS</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22CONTRERAS%2C+ROSITA%22">CONTRERAS, ROSITA</searchLink><relatesTo>1</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Revista+Medicina%22">Revista Medicina</searchLink>. May/Jun2020, Vol. 80 Issue 3, p229-240. 12p.
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: The Argentine Society of Infectious Diseases and other scientific societies have updated these recommendations based on data on urinary tract infections in adults obtained from a prospective multicenter study conducted in Argentina during 2016-2017. Asymptomatic bacteriuria should be treated only in pregnant women, who should also be systematically investigated; the antibiotics of choice are nitrofurantoin, amoxicillin, clavulanic/amoxicillin, cephalexin and trimethoprim-sulfamethoxazole. In procedures involving injury to the urinary tract with bleeding, it is recommended to request urine culture and, in the presence of bacteriuria, antimicrobial treatment according to sensitivity should be prescribed from immediately before up to 24 hours after the intervention. In women, cystitis can be treated with nitrofurantoin, cephalexin or fosfomycin, while trimethoprim-sulfamethoxazole and fluoroquinolones are not recommended; pyelonephritis can be treated with ciprofloxacin, cefixime or cephalexin in ambulatory women or ceftriaxone, cefazolin or amikacin in those who are hospitalized. In men, urinary tract infections are always considered complicated; nitrofurantoin or cephalexin are recommended for 7 days, alternatively fosfomycin should be given in a single dose. In men, ciprofloxacin, ceftriaxone or cefixime are suggested for pyelonephritis on ambulatory treatment whereas ceftriaxone or amikacin are recommended for hospitalized patients. Acute bacterial prostatitis can be treated with ceftriaxone or gentamicin. Fluoroquinolones were the choice treatment for chronic bacterial prostatitis until recently; they are no longer recommended due to the increasing resistance and recent concerns regarding the safety of these drugs; alternative antibiotics such as fosfomycin are to be considered. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: La Sociedad Argentina de Infectología y otras sociedades científicas han actualizado estas recomendaciones utilizando, además de información internacional, la de un estudio multicéntrico prospectivo sobre infecciones del tracto urinario del adulto realizado en Argentina durante 2016-2017. La bacteriuria asintomática debe ser tratada solo en embarazadas, a quienes también se las debe investigar sistemáticamente; los antibióticos de elección son nitrofurantoína, amoxicilina, amoxicilina-clavulánico, cefalexina y trimetoprimasulfametoxazol. Ante procedimientos que impliquen lesión con sangrado del tracto urinario se recomienda solicitar urocultivo para pesquisar bacteriuria asintomática, y, si resultara positivo, administrar antimicrobianos según sensibilidad desde inmediatamente antes hasta 24 horas luego de la intervención. En mujeres, la cistitis puede ser tratada con nitrofurantoina, cefalexina, o fosfomicina y no se recomienda usar trimetoprima-sulfametoxazol o fluoroquinolonas; en pielonefritis puede emplearse ciprofloxacina, cefixima o cefalexina si el tratamiento es ambulatorio o ceftriaxona, cefazolina o amikacina si es hospitalario. En los hombres, las infecciones del tracto urinario se consideran siempre complicadas. Se recomienda tratamiento con nitrofurantoina o cefalexina por 7 días, o bien monodosis con fosfomicina. Para la pielonefritis en hombres se sugiere ciprofloxacina, ceftriaxona o cefixima si el tratamiento es ambulatorio y ceftriaxona o amikacina si es hospitalario. Se sugiere tratar las prostatitis bacterianas agudas con ceftriaxona o gentamicina. En cuanto a las prostatitis bacterianas crónicas, si bien su tratamiento de elección hasta hace poco fueron las fluoroquinolonas, la creciente resistencia y ciertas dudas sobre la seguridad de estas drogas obligan a considerar el uso de alternativas como fosfomicina. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Revista Medicina is the property of Revista Medicina and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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