The Role of the Gut, Urine, and Vaginal Microbiomes in the Pathogenesis of Urinary Tract Infection in Women and Consideration of Microbiome Therapeutics

被引：1
|
作者：
Naji, Amal [1 ]
Siskin, Drew [2 ]
Woodworth, Michael H. [3 ]
Lee, John R. [4 ]
Kraft, Colleen S. [3 ,5 ]
Mehta, Nirja [3 ]
机构：
[1] Piedmont Hosp, Atlanta, GA USA
[2] Emory Univ, Atlanta, GA USA
[3] Emory Univ, Dept Med, Div Infect Dis, 550 Peachtree St NE Med Off Tower Fl 7, Atlanta, GA 30308 USA
[4] Weill Cornell Med Coll, Div Nephrol & Hypertens, New York, NY USA
[5] Emory Univ, Dept Pathol & Lab Med, Atlanta, GA USA
来源：
OPEN FORUM INFECTIOUS DISEASES | 2024年 / 11卷 / 09期
关键词：
bacteria; gut; microbiome; urinary; vaginal; CLOSTRIDIUM-DIFFICILE INFECTION; ESCHERICHIA-COLI; TRANSPLANTATION; COLONIZATION; ASSOCIATION; PATIENT; GENES;
D O I：
10.1093/ofid/ofae471
中图分类号：
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号：
100102 ;
摘要：
The gut, urine, and vaginal microbiomes play significant roles in the pathogenesis of recurrent urinary tract infections (rUTIs). Analysis of these microbiota has shown distinct associations with urinary tract infections. Encouraging data indicate that rUTIs may be responsive to microbiome treatments such as fecal microbiota transplantation, expanding potential treatments beyond antibiotics, hydration, and behavioral interventions. If successful, these nonantibiotic therapies have the potential to increase time between rUTI episodes and reduce the prevalence of multidrug-resistant organisms. In this review, we discuss the role of the 3 microbiomes in the pathogenesis of rUTI and utilization of live biotherapeutic products as therapy for rUTI. This review discusses the role of the gut, urine and vaginal microbiome on recurrent urinary tract infection pathogenesis, as well as how live biotherapeutic products such as fecal microbiota transplantation can influence the microbiome and affect clinical outcomes
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页数：7
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