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Uro-Vaxom预防尿路感染的疗效与安全性:一项系统文献综述

Efficacy and Safety of Uro-Vaxom in Urinary Tract Infection Prevention: A Systematic Literature Review.

作者信息

Volontè Silvia, De Vicari Desireè, Cola Alice, Barba Marta, Frigerio Matteo

机构信息

Ospedale Sant'Anna, ASST Lariana, 22100 Como, Italy.

Faculty of Medicine and Surgery, University of Milano Bicocca, 20126 Monza, Italy.

出版信息

J Clin Med. 2025 May 29;14(11):3836. doi: 10.3390/jcm14113836.

DOI:10.3390/jcm14113836
PMID:40507598
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12156379/
Abstract

: Urinary tract infections (UTIs) are the most common bacterial infections and one of the most common diseases worldwide. These infections induce an enormous financial and economic burden. The most frequent pathogen in UTIs is (), which is responsible for over 85% of cases of cystitis and over 60% of recurrent cases. Repeated antibiotic prescriptions increase the risk of bacteria developing resistance, reducing treatment efficacy and limiting long-term therapeutic options. When traditional preventive methods fail to provide protection, other strategies may be necessary. To investigate the effectiveness of vaccination with Uro-Vaxom for the prevention of UTIs based on currently available studies. : Systematic literature search. : The available studies focus almost exclusively on the female sex. Uro-Vaxom decreased the recurrence of UTIs, was overall well tolerated, and reduced the need for antibiotic therapies. : Uro-Vaxom is a potential effective and well-tolerated option for reducing the recurrence of UTIs in patients prone to frequent infections. Nevertheless, the retrospective nature of several studies, combined with methodological limitations and variability in study design, precluded a reliable quantitative estimation of the treatment effect.

摘要

尿路感染(UTIs)是最常见的细菌感染之一,也是全球最常见的疾病之一。这些感染造成了巨大的财政和经济负担。尿路感染最常见的病原体是(),它导致了超过85%的膀胱炎病例和超过60%的复发病例。反复开具抗生素处方会增加细菌产生耐药性的风险,降低治疗效果并限制长期治疗选择。当传统预防方法无法提供保护时,可能需要其他策略。基于现有研究调查Uro-Vaxom疫苗预防尿路感染的有效性。:系统文献检索。:现有研究几乎完全集中在女性身上。Uro-Vaxom降低了尿路感染的复发率,总体耐受性良好,并减少了抗生素治疗的需求。:Uro-Vaxom是减少易频繁感染患者尿路感染复发的一种潜在有效且耐受性良好的选择。然而,几项研究的回顾性性质,加上方法学局限性和研究设计的变异性,妨碍了对治疗效果进行可靠的定量估计。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac82/12156379/57b2c3c31f9a/jcm-14-03836-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac82/12156379/9e348351313e/jcm-14-03836-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac82/12156379/57b2c3c31f9a/jcm-14-03836-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac82/12156379/9e348351313e/jcm-14-03836-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac82/12156379/57b2c3c31f9a/jcm-14-03836-g002.jpg

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本文引用的文献

1
European Association of Urology Guidelines on Urological Infections: Summary of the 2024 Guidelines.欧洲泌尿外科学会泌尿感染指南:2024 年指南摘要。
Eur Urol. 2024 Jul;86(1):27-41. doi: 10.1016/j.eururo.2024.03.035. Epub 2024 May 6.
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Urinary Tract Infections Caused by Uropathogenic : Mechanisms of Infection and Treatment Options.尿路感染的病原体:感染机制和治疗选择。
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A Retrospective Study of Immunotherapy Treatment with Uro-Vaxom (OM-89®) for Prophylaxis of Recurrent Urinary Tract Infections.
一项关于使用Uro-Vaxom(OM-89®)免疫疗法预防复发性尿路感染的回顾性研究。
Curr Urol. 2020 Oct;14(3):130-134. doi: 10.1159/000499248. Epub 2020 Oct 13.
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D-mannose vs other agents for recurrent urinary tract infection prevention in adult women: a systematic review and meta-analysis.D-甘露糖与其他药物预防成人女性复发性尿路感染的比较:系统评价和荟萃分析。
Am J Obstet Gynecol. 2020 Aug;223(2):265.e1-265.e13. doi: 10.1016/j.ajog.2020.05.048. Epub 2020 Jun 1.
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Urinary tract infection in pediatrics: an overview.小儿尿路感染概述
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Bacterial virulence phenotypes of and host susceptibility determine risk for urinary tract infections.细菌的毒力表型和宿主易感性决定了尿路感染的风险。
Sci Transl Med. 2017 Mar 22;9(382). doi: 10.1126/scitranslmed.aaf1283.
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Repeated Treatments with Chitosan in Combination with Antibiotics Completely Eradicate Uropathogenic Escherichia coli From Infected Mouse Urinary Bladders.壳聚糖与抗生素联合重复治疗可完全清除感染小鼠膀胱中的尿路致病性大肠杆菌。
J Infect Dis. 2017 Aug 1;216(3):375-381. doi: 10.1093/infdis/jix023.
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Oral vaccine (OM-89) in the recurrent urinary tract infection prophylaxis: a realistic systematic review with meta-analysis.口服疫苗(OM-89)用于预防复发性尿路感染:一项包含荟萃分析的实用系统评价
Actas Urol Esp. 2016 May;40(4):203-8. doi: 10.1016/j.acuro.2015.04.008. Epub 2015 Oct 24.
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Interventions for preventing recurrent urinary tract infection during pregnancy.孕期预防复发性尿路感染的干预措施。
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