Recommended procedure for antibiotic treatment of community-acquired kidney and urinary tract infections in primary care
Abstract
Urinary tract infections (IMCs) are the second most common cause for which practitioners initiate antibiotic therapy. Unlike respiratory infections that are most commonly treated with antibiotics, although they are predominantly of viral origin, urinary infections are caused almost exclusively by bacteria.
Except for the first months of life, IMC is more common in women. IMC is characterized by bacterial colonization of the epithelium of the urinary tract mucosa, its proliferation in one or more organs of the urinary tract, and the risk of intrusion into the tissues of the urinary tract, surrounding and into the blood.
The origin depends on the interaction of virulent factors of the infectious agents with the defensive mechanisms and the risk factors on the host side. IMC must be supported by the presence of significant bacteriuria.
The finding of pyuria is not a uroinfection attribute, as it may be present for other reasons as well. In our countries, the term IMC is commonly used, although it would be more appropriate to use infections of the uropoetic tract, as it is certainly a disease of the kidneys (pyelonephritis).