[Infectious emergencies in urology]

Prog Urol. 2021 Nov;31(15):978-986. doi: 10.1016/j.purol.2021.07.006. Epub 2021 Aug 19.
[Article in French]

Abstract

Objective: To report the nature, diagnosis and therapeutic strategy of infectious emergencies in urology.

Material and methods: Bibliographic research from Pubmed, Embase, and Google scholar in July 2021. A synthesis of the guidelines of national infectious diseases societies.

Results: Urosepsis and complicated urinary tract infection have a standardized definition. Diagnosis and therapeutic strategy are presented for upper tract urinary infection, male urinary infection, healthcare associated urinary infection, symptomatic canduria and urinary infections of the elderly. Appropriate antibiotherapy should be tailored to the degree of severity, bacterial ecosystem, patient characteristics et localization of the infection.

Conclusion: Urinary infections can be critical and require immediate care. Knowledge of the guidelines and of appropriate diagnosis and therapeutics strategy improve care which should be rapidly applied, and collegial.

Keywords: Bacterial prostatitis; Candiduria; Candidurie; Emergency; Health related urinary infection; Infection urinaire; Infection urinaire masculine; Infections urinaires associées aux soins; Pyelonephritis; Pyélonéphrite; Sepsis urinaire; Urgence; Urinary tract infection; Urosepsis.

MeSH terms

  • Aged
  • Anti-Bacterial Agents / therapeutic use
  • Ecosystem
  • Emergencies
  • Humans
  • Male
  • Urinary Tract Infections* / diagnosis
  • Urinary Tract Infections* / drug therapy
  • Urology*

Substances

  • Anti-Bacterial Agents