Urinary tract infections in adults. Particular cases Volume 8, issue 10, Décembre 2012

Société Française de Documentation et de Recherche en Médecine Générale

Urinary tract infections, symptomatic or not, are one of the most common medical pathologies during pregnancy. They all must be treated and followed until the end of pregnancy because of the maternal-fetal risk they imply. Acute pyelonephritis requires hospitalization at least initially and then a monthly monitoring. Screening for asymptomatic bacteriuria around the fourth month of pregnancy has proved its effectiveness. The prevalence of urinary tract infection increases with age: asymptomatic (they should not be treated, except with some cases) or more rarely symptomatic (mostly related to maneuver detections). UTIs of man are most often prostatitis. Hospitalization is often justified, unless the clinical situation allows it. Complicated or simple acute pyelonephritis can often be treated at home according to the clinical context. The chronic pelvic pain syndrome remains frequently misunderstood. It raises the much broader question of the treatment of chronic noncancer pain and may in this sense be a good model for reflection and training in making a decision under conditions of uncertainty.