Preview

Health and Ecology Issues

Advanced search

URINARY TRACT INFECTIONS IN PATIENTS WITH LIVER CIRRHOSIS

https://doi.org/10.51523/2708-6011.2012-9-1-9

Abstract

Patients with liver cirrhosis are predisposed to develop infections due to the decrease of immune response combined with bacterial translocation. 40 % patients with liver cirrhosis diagnose a high level of bacterial content in urine with uroisolators being dominant causative agents of urine system infections, which makes it possible to assume the presence of pathologic bacteriuria in them. The peculiar feature of urine infection in the patients with liver cirrhosis is an oligosymptomatic clinical picture, which needs an object-oriented search of the infection and timely prescription of treatment. The program of the treatment for urine infections in the patients with liver cirrhosis should include measures to restore the microbiota of bowels.

About the Author

E. G. Malayeva
Gomel State Medical University
Belarus


References

1. Рекомендации Европейской урологической ассоциации по ведению больных с инфекциями почек, мочевых путей и мужских половых органов // EAU. - 2007. - 221 с.

2. Вялкова, А. А. Инфекция мочевой системы у детей - новые решения старой проблемы / А. А. Вялкова, В. А. Гриценко, Л. М. Гордиенко // Нефрология. - 2010. - № 4. - С. 63-76.

3. Хайкина, Е. В. Инфекции мочевыводящих путей у больных сахарным диабетом / Е. В. Хайкина, Г. К. Решедько, М. В. Морозов // Клин. микробиол. Антимикроб. химиотер. - 2008. - № 3. - С. 235-244.

4. Gut flora and bacterial translocation in chronic liver disease / J. Almeida [et al.] // World J. Gastroenterol. - 2006. - Vol. 12. - P. 1493-1502.

5. Kahlmeter, G. An international survey of the antimicrobial susceptibility of pathogens from uncomplicated urinary tract infections: the ECO.SENS Project / G. Kahlmeter // J. Antimicrob. Chemother. - 2003. - Vol. 51. - Р. 69-76.

6. Amato, А. Prevalence and risk factors for bacteriuria in patients with cirrhosis / А. Amato, D. F. Precone, N. Carannante et al. // Le Infezioni in Medicina. - 2005. - Vol. 2. - Р. 103-108.

7. Urinary tract infection in non-hospitalized patients with cirrhosis and no symptoms of urinary tract infection: a case series study / R. Cruz [et al.] // The Brazilian Journal of Infectious Diseases. - 2006. - Vol. 10. - P. 380-383.

8. Sevastianos, V. A. Pathogenesis, diagnosis and therapy of infections complicating patients with chronic liver disease / V. A. Sevastianos, S. P. Dourakis // Annals of gastroenterology. - 2003. - Vol. 16. - P. 300-315.

9. Arvaniti, V. Infections in patients with cirrhosisn increase mortality four-fold and should be used in determining prognosis / V. Arvaniti [et al.] // Gastroenterology. - 2010. - Vol. 139. - P. 1246-1256.

10. Bacterial infection in patients with advanced cirrhosis: a multicentre prospective study / M. Borzio [et al.] // Dig. Liver Dis. - 2001. - Vol. 33. - P. 41-48.

11. Christou, L. Bacterial infection related morbidity and mortality in cirrhosis / L. Christou, G. Pappas, M. Falagas // Am. J. Gastroenterol. - 2007. - Vol. 102. - P. 1510-1517.


Review

For citations:


Malayeva E.G. URINARY TRACT INFECTIONS IN PATIENTS WITH LIVER CIRRHOSIS. Health and Ecology Issues. 2012;(1):53-56. (In Russ.) https://doi.org/10.51523/2708-6011.2012-9-1-9

Views: 275


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2220-0967 (Print)
ISSN 2708-6011 (Online)