Polysaccharide of Escherichia coli in the Prevention of Recurrent Urinary Tract Infection: An Evidence-Based Review

Detalhes bibliográficos
Autor(a) principal: Tinoco, Manuel
Data de Publicação: 2018
Outros Autores: Santos, Mélody, Reitor, Conceição, Rodrigues, Andreia, Monteiro, João
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9367
Resumo: Introduction: Recurrent urinary tract infection is frequent and it is related to morbidity, costs and growing antibiotic resistance. OM 8930 vaccine is composed by Escherichia coli polysaccharide and it is a possible prophylactic measure, but there is doubt as to its effectiveness.Material and Methods: We performed a systematic review in evidence-based medicine databases with rigorous bibliography selection.Results: We found an effective decrease of recurrences in test groups.Discussion: We recommend the administration of the vaccine as prophylaxis of recurrent cystitis.Conclusion: The vaccine has impact on the recurrent cystitis relapse rate. We suggest that more studies be carried out to evaluate the vaccine cost-benefit and its effectiveness in complicated urinary infections.
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spelling Polysaccharide of Escherichia coli in the Prevention of Recurrent Urinary Tract Infection: An Evidence-Based ReviewPolissacarídeo de Escherichia coli na Prevenção da Infeção do Trato Urinário Recorrente: Uma Revisão Baseada na EvidênciaAdjuvantsImmunologic/therapeutic useEscherichia coli InfectionsUrinary Tract InfectionsUropathogenic Escherichia coliAdjuvantes Imunológicos/uso terapêuticoEscherichia coli UropatogénicaInfecções por Escherichia coliInfecções UrináriasIntroduction: Recurrent urinary tract infection is frequent and it is related to morbidity, costs and growing antibiotic resistance. OM 8930 vaccine is composed by Escherichia coli polysaccharide and it is a possible prophylactic measure, but there is doubt as to its effectiveness.Material and Methods: We performed a systematic review in evidence-based medicine databases with rigorous bibliography selection.Results: We found an effective decrease of recurrences in test groups.Discussion: We recommend the administration of the vaccine as prophylaxis of recurrent cystitis.Conclusion: The vaccine has impact on the recurrent cystitis relapse rate. We suggest that more studies be carried out to evaluate the vaccine cost-benefit and its effectiveness in complicated urinary infections.Introdução: A infeção do trato urinário recorrente é frequente e associa-se a morbilidade, custos e aquisição de resistências a antibióticos. A vacina OM 8930 é constituída por um polissacarídeo de Escherichia coli e é uma possível medida profilática, mas existe dúvida quanto à sua efetividade.Material e Métodos: Realizámos uma revisão sistemática das principais bases de dados de medicina baseada na evidência, com seleção criteriosa dos artigos encontrados.Resultados: Verificámos uma efetiva diminuição do número de recorrências nos grupos experimentais.Discussão: Admitimos a recomendação do uso da vacina como profilaxia da cistite recorrente.Conclusão: A vacina tem impacto na recidiva da cistite recorrente. Sugerimos a realização de mais estudos para avaliar o custo/benefício da vacina, bem como o seu efeito nas infeções urinárias complicadas.Ordem dos Médicos2018-03-29info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdfapplication/vnd.openxmlformats-officedocument.wordprocessingml.documentapplication/mswordapplication/mswordapplication/vnd.openxmlformats-officedocument.wordprocessingml.documentapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9367oai:ojs.www.actamedicaportuguesa.com:article/9367Acta Médica Portuguesa; Vol. 31 No. 3 (2018): March; 165-169Acta Médica Portuguesa; Vol. 31 N.º 3 (2018): Março; 165-1691646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9367https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9367/5382https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9367/9499https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9367/9792https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9367/9793https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9367/9884https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9367/10039https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9367/10059Direitos de Autor (c) 2018 Acta Médica Portuguesainfo:eu-repo/semantics/openAccessTinoco, ManuelSantos, MélodyReitor, ConceiçãoRodrigues, AndreiaMonteiro, João2022-12-20T11:05:44Zoai:ojs.www.actamedicaportuguesa.com:article/9367Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:19:42.326873Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Polysaccharide of Escherichia coli in the Prevention of Recurrent Urinary Tract Infection: An Evidence-Based Review
Polissacarídeo de Escherichia coli na Prevenção da Infeção do Trato Urinário Recorrente: Uma Revisão Baseada na Evidência
title Polysaccharide of Escherichia coli in the Prevention of Recurrent Urinary Tract Infection: An Evidence-Based Review
spellingShingle Polysaccharide of Escherichia coli in the Prevention of Recurrent Urinary Tract Infection: An Evidence-Based Review
Tinoco, Manuel
Adjuvants
Immunologic/therapeutic use
Escherichia coli Infections
Urinary Tract Infections
Uropathogenic Escherichia coli
Adjuvantes Imunológicos/uso terapêutico
Escherichia coli Uropatogénica
Infecções por Escherichia coli
Infecções Urinárias
title_short Polysaccharide of Escherichia coli in the Prevention of Recurrent Urinary Tract Infection: An Evidence-Based Review
title_full Polysaccharide of Escherichia coli in the Prevention of Recurrent Urinary Tract Infection: An Evidence-Based Review
title_fullStr Polysaccharide of Escherichia coli in the Prevention of Recurrent Urinary Tract Infection: An Evidence-Based Review
title_full_unstemmed Polysaccharide of Escherichia coli in the Prevention of Recurrent Urinary Tract Infection: An Evidence-Based Review
title_sort Polysaccharide of Escherichia coli in the Prevention of Recurrent Urinary Tract Infection: An Evidence-Based Review
author Tinoco, Manuel
author_facet Tinoco, Manuel
Santos, Mélody
Reitor, Conceição
Rodrigues, Andreia
Monteiro, João
author_role author
author2 Santos, Mélody
Reitor, Conceição
Rodrigues, Andreia
Monteiro, João
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Tinoco, Manuel
Santos, Mélody
Reitor, Conceição
Rodrigues, Andreia
Monteiro, João
dc.subject.por.fl_str_mv Adjuvants
Immunologic/therapeutic use
Escherichia coli Infections
Urinary Tract Infections
Uropathogenic Escherichia coli
Adjuvantes Imunológicos/uso terapêutico
Escherichia coli Uropatogénica
Infecções por Escherichia coli
Infecções Urinárias
topic Adjuvants
Immunologic/therapeutic use
Escherichia coli Infections
Urinary Tract Infections
Uropathogenic Escherichia coli
Adjuvantes Imunológicos/uso terapêutico
Escherichia coli Uropatogénica
Infecções por Escherichia coli
Infecções Urinárias
description Introduction: Recurrent urinary tract infection is frequent and it is related to morbidity, costs and growing antibiotic resistance. OM 8930 vaccine is composed by Escherichia coli polysaccharide and it is a possible prophylactic measure, but there is doubt as to its effectiveness.Material and Methods: We performed a systematic review in evidence-based medicine databases with rigorous bibliography selection.Results: We found an effective decrease of recurrences in test groups.Discussion: We recommend the administration of the vaccine as prophylaxis of recurrent cystitis.Conclusion: The vaccine has impact on the recurrent cystitis relapse rate. We suggest that more studies be carried out to evaluate the vaccine cost-benefit and its effectiveness in complicated urinary infections.
publishDate 2018
dc.date.none.fl_str_mv 2018-03-29
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9367/9792
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9367/9793
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9367/9884
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9367/10039
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9367/10059
dc.rights.driver.fl_str_mv Direitos de Autor (c) 2018 Acta Médica Portuguesa
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Direitos de Autor (c) 2018 Acta Médica Portuguesa
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dc.publisher.none.fl_str_mv Ordem dos Médicos
publisher.none.fl_str_mv Ordem dos Médicos
dc.source.none.fl_str_mv Acta Médica Portuguesa; Vol. 31 No. 3 (2018): March; 165-169
Acta Médica Portuguesa; Vol. 31 N.º 3 (2018): Março; 165-169
1646-0758
0870-399X
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