Pathophysiologic Insights into the Transition from Asymptomatic Bacteriuria to Urinary Tract Infection.

IF 2.5 2区 医学 Q2 UROLOGY & NEPHROLOGY
Current Urology Reports Pub Date : 2023-11-01 Epub Date: 2023-10-19 DOI:10.1007/s11934-023-01183-4
Bernardita M Ljubetic, Ashu Mohammad, Butool Durrani, Amy D Dobberfuhl
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Abstract

Purpose of review: Asymptomatic bacteriuria (ASB) can be found in the general population but it is more common in catheterized patients. Some patients develop urinary tract infections (UTI) and others stay asymptomatic throughout time. The scientific community lacks a pathophysiologic explanation of why asymptomatic bacteriuria stays asymptomatic most of the time, and why and how it sometimes transitions to UTI. In an attempt to bridge this gap in knowledge, a summary of the current literature is conducted on the pathophysiologic differences between ASB and UTI, beyond their clinical differences.

Recent findings: ASB and UTI cannot be differentiated just by their phylogroup or number of virulence factors. The difference may be in their metabolism gene expression. The literature lacks a pathophysiological explanation of the transition from ASB to UTI, and recent discoveries suggest that metabolic gene expression may hold the key.

Abstract Image

从无症状细菌尿到尿路感染转变的病理生理学见解。
综述目的:无症状菌尿(ASB)可在普通人群中发现,但在导管患者中更常见。一些患者出现尿路感染(UTI),而另一些患者则一直没有症状。科学界缺乏对为什么无症状菌尿在大多数情况下保持无症状,以及为什么以及如何有时转变为尿路感染的病理生理学解释。为了弥补这一知识差距,对ASB和UTI之间的病理生理学差异进行了总结,超越了它们的临床差异。最近的发现:ASB和UTI不能仅仅通过它们的门组或毒力因子的数量来区分。差异可能在于它们的代谢基因表达。文献缺乏对ASB向UTI转变的病理生理学解释,最近的发现表明代谢基因表达可能是关键。
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来源期刊
Current Urology Reports
Current Urology Reports UROLOGY & NEPHROLOGY-
CiteScore
4.60
自引率
3.80%
发文量
39
期刊介绍: This journal intends to review the most important, recently published findings in the field of urology. By providing clear, insightful, balanced contributions by international experts, the journal elucidates current and emerging approaches to the care and prevention of urologic diseases and conditions. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as benign prostatic hyperplasia, erectile dysfunction, female urology, and kidney disease. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.
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