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Épidémiologie de l’infection urinaire communautaire de l’adulte en France

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Les infections urinaires

Part of the book series: Monographies en urologie ((MONOGRAPHIES))

Abstrait

En France, les infections urinaires communautaires sont le deuxième motif de consultation et de prescription d’antibiotiques au cabinet du médecin (1) et dans les Services d’urgences (SAU) (2), mais elles sont probablement la première cause d’infections bactériennes (3) dans le pays. L’incidence annuelle franÇaise, estimée à 4–6 millions de cas repose sur le fait que les infections urinaires représentent de 1 % à 2,1 % de l’activité des médecins généralistes et que ces derniers en géreraient, avec les SAU, près de 90 % (4). Les 10 % restants sont vraisemblablement vus en spécialités d’urologie et d’infectiologie. Cette estimation indirecte ne permet de connaître ni le nombre d’hospitalisations qu’elles motivent, ni leur déclinaison en catégories anatomocliniques, ni leurs gravités respectives. Par convention, les infections urinaires de l’enfant et de la jeune fille jusqu’à 18 ans et les infections nosocomiales ne sont pas abordées dans ce chapitre.

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Références

  1. Deuxième Conférence de Consensus en Thérapeutique Anti-Infectieuse (1991) Antibiothérapie des Infections urinaires. Société de Pathologie Infectieuse de Langue FranÇaise. Médecine et Maladies Infectieuses 2: 51–54

    Google Scholar 

  2. Elkharrat D, Brun-Ney D, Cordier B et al. (2002) pour le Groupe Vigil’Roc Urgences. Prescription d’antibiotiques dans 34 Services d’Accueil et de traitement des Urgences FranÇais. Méd Mal Infect 33: 70–77

    Article  Google Scholar 

  3. Nicolle LE (2001) Epidemiology of urinary tract infections. Infect Med 18:153–162

    Google Scholar 

  4. Rapport de l’Association de Formation Continue en Pathologie Infectieuse (1989) Le traitement des infections urinaires observées en ville chez l’adulte jeune 16p

    Google Scholar 

  5. Rubin RH, Shapiro ED, Andriole Vt et al. (1992) Evaluation of new anti-infective drugs for treatment of urinary tract infection. Clin Infect Diseases 15 (suppl): 216–227

    Google Scholar 

  6. Foxman B (2002) Epidemiology of Urinary Tract Infections:Incidence, Morbidity, and Economic Costs. Am J Med 113(1A): 5S–13S

    Article  PubMed  Google Scholar 

  7. Ruben FL, Dearwater ST, Norden CW (1995) Clinical infections in the noninstitutionalized geriatric age group:methods utilized and incidence of infections. Am J Epidemiol 141: 145–157

    PubMed  CAS  Google Scholar 

  8. Agence Nationale pour le Développement de l’Évaluation Médicale (1996) Cystites et pyélonéphrites aiguës simples de la femme de 15 à 65 ans, en dehors de la grossesse. Recommandations et références médicales. Concours Médical (suppl): 26–42

    Google Scholar 

  9. Jolleys JV (1991) Factors associated with regular episodes of dysuria among women in one rural general practice. Br J Gen Prac 41: 241–243

    CAS  Google Scholar 

  10. Sheinfeld J, Schaeffer AJ, Cordon-Cardo C et al. (1989) Association of the Lewis blood group phenotype with recurrent urinary infections in women. N Engl J Med 320:773–777

    Article  PubMed  CAS  Google Scholar 

  11. Twaij M (2000) Urinary tract infections in children:a review of its pathogenesis and risk factors. J R Soc Health 120: 220–226

    PubMed  CAS  Google Scholar 

  12. Shortliffe LD (1997) Urinary tract infections in infants and children. In: Walsh P, Retik AB, Vaughn ED, Wein AI, eds. Campbell’s Urology, vol. 2, 7th ed. Philadelphia: WB Saunders 1681–1707

    Google Scholar 

  13. Scholes D, Hooton TM, Roberts DL et al. (2000) Risk factors for recurrent urinary tract infection in young women. J Infect Dis 182: 1177–1182

    Article  PubMed  CAS  Google Scholar 

  14. Foxman B, Frerichs RR (1985) Epidemiology of urinary tract infection.I Diaphragm use and sexual intercourse. Am J Public Health 75: 1308–1313

    PubMed  CAS  Google Scholar 

  15. Foxman B, Geiger A, Palin K et al. (1995) First time urinary tract infection and sexual behavior. Epidemiology 6: 162–168

    Article  PubMed  CAS  Google Scholar 

  16. Fihn SD, Boyko EJ, Normand EH et al. (1996) Association between use of spermicide-coated condoms and Escherichia coli urinary tract infection in young women. Am J Epidemiol 144: 512–520

    PubMed  CAS  Google Scholar 

  17. Raz R, Stamm WE (1993) A controlled trial of intravaginal oestriol in postmenopa 1 women with recurrent urinary tract infections. New Engl J Med 329: 750–756

    Article  Google Scholar 

  18. Reid G, Bruce AW, Cook RL, Liano M (1990) Effect on urogenital flora of antibiotic therapy for urinary tract infection. Scand J Infect Dis 22: 43–47

    PubMed  CAS  Google Scholar 

  19. Hooton TM, Scholes D, Hughes JP et al. (1996) A prospective study of risk factors for symptomatic urinary tract infection in young women. N Engl J Med 335: 468–474

    Article  PubMed  CAS  Google Scholar 

  20. Krieger JN, Ross SO, Simonsen JM (1993) Urinary tract infections in healthy university men. J Urol 149: 1046–1048

    PubMed  CAS  Google Scholar 

  21. Foxman B, Barlow R, d’Arcy H et al. (2000) Urinary tract infection: estimated incidence and associated costs. Ann Epidemiol 10: 509–515

    Article  PubMed  CAS  Google Scholar 

  22. Schappert SM (1999) Ambulatory care visits to physician offices, hospital outpatient departments, and emergency departments. United States, 1997. Vital Health Stat 13143:I–IV, 1–39

    Google Scholar 

  23. Johnson JR, Stamm WE (1989) Urinary tract infections in women:diagnosis and treatment. Ann Intern Med 111: 906–917

    PubMed  CAS  Google Scholar 

  24. Patton JP, Nash DB, Abrutyn E ( 1991) Urinary tract infection: economic considerations. Medic Clin North Am 75: 494–513

    Google Scholar 

  25. US Bureau of the Census. Resident population of the United States: estimates by age and sex (Nov 3 1997)

    Google Scholar 

  26. Foxman B, Gillespie B, Koopman J et al. (2000) Risk factors for second urinary tract infection among college women. Am J Epidemiol 151: 1194–1205

    PubMed  CAS  Google Scholar 

  27. Zielske JV, Lohr KN, Brook RH, Goldberg GA (1981) Conceptualization and measurement of physiologic health for adults. Urinary tract infection. The Rand Corporation; R2262/16-HHS

    Google Scholar 

  28. Wilkie ME, Almond MK, Marsh FP (1992) Diagnosis and management of urinary tract infections in adults. BMJ 305: 1137–1141

    PubMed  CAS  Google Scholar 

  29. National Institutes of Health (1990) The national kidney and urologic diseases advisory board 1990 long-range plan, window on the 21st century. Bethesda, MD: National Institutes of Health. NIH publication n° 90–583

    Google Scholar 

  30. Nicolle LE, Friesen D, Arding GKM, Roos LL (1996) Hospitalisation for acute pyelonephritis in Manitoba, Canada, during the period from 1989 to 1992: impact of diabetes, pregnancy and aboriginal origin. Clin Infect Diseases 22: 1051–1056

    CAS  Google Scholar 

  31. Stamm WE, Hooton TM (1993) Management of urinary tract infections in adults. New Engl J Med 329: 1328–1334

    Article  PubMed  CAS  Google Scholar 

  32. Caceres VM, Stange KC, Kikano GE, Zyzanski SJ (1994) The clinical utility of a day of hospital observation after switching from intravenous to oral antibiotic therapy in the treatment of pyelonephritis. J Fam Pract 39: 337–339

    PubMed  CAS  Google Scholar 

  33. Warren JW, Abrutyn E, Hebel JR et al. (1999) Guidelines for antimicrobial treatment of uncomplicated acute bacterial cystitis and acute pyelonephritis in women. Clin Infec Dis 29: 745–758

    CAS  Google Scholar 

  34. Fihn SD (2003) Acute uncomplicated urinary tract infection in women. N Engl J Med 349: 259–266

    Article  PubMed  Google Scholar 

  35. Elkharrat D, Chastang C, Boudiaf M et al. (1999) Relevance in the Emergency Department of a decisional algorithm for outpatient care of women with acute pyelonephritis. Eur J of Emergency Med 6: 1–6

    Google Scholar 

  36. Ikaheimo R, Siitonen A, Heiskanen T et al. (1996) Recurrence of urinary tract infection in a primary care setting:analysis of 1-year follow-up of 179 women. Clin Infect Dis 22: 91–99

    PubMed  CAS  Google Scholar 

  37. Nicolle LE, Bradley S, Colgan R et al. (2005) Infectious Diseases Society of America Guidelines for the diagnosis of asymptomatic bacteriuria in adults. Clin Infec Dis 40: 643–654

    Article  Google Scholar 

  38. Tiby-Lévy Y, Elkharrat D, De Pouvourville G (2000) Inpatient vs Outpatient Management of Adults with Acute Uncomplicated Pyelonephritis (AUP): Multicenter, Randomized Cost-minimization Study. ICAAC Toronto

    Google Scholar 

  39. Krieger JN (1995) Prostatitis, epididymitis and orchitis. In Mandell, Douglas and Bennett’s Principles and practice of infectious diseases. Fourth edition. Churchill Livingstone 1098–1103

    Google Scholar 

  40. Sobel JD, Kaye D (1995) Urinary tract infection. In Mandell, Douglas and Bennett’s. Principles and practice of infectious diseases. Fourth edition. Churchill Livingstone 662–690

    Google Scholar 

  41. Krieger JN, Nyberg L Jr, Nickel JC, for the International Prostatitis Collaborative Network (1999) NIH consensus definition and classification of prostatitis. JAMA 282: 236–237

    Article  PubMed  CAS  Google Scholar 

  42. Roberts RO, Lieber MM, Rhodes T et al. (1998) Prevalence of a physician-assigned diagnosis of prostatitis: the Olmsted County Study of Urinary Symptoms and Health Status Among Men. Urology 51: 578–584

    Article  PubMed  CAS  Google Scholar 

  43. Moon TD (1997) Questionnaire survey of urologists and primary care physician’s diagnostic and treatment practices for prostatitis. Urology 50: 543–547

    Article  PubMed  CAS  Google Scholar 

  44. Nickel JC (2000) Chronic prostatitis: an infectious disease? Infect Urol 13: 31–38

    Article  Google Scholar 

  45. Collins MM, Stafford RS, O’Leary MP, Barry MJ (1998) How common is prostatitis ? A national survey of physician visits. J Urol 159: 1224–1228

    Article  PubMed  CAS  Google Scholar 

  46. Moon TD, Hagen L, Heisey DM (1997) Urinary symptomatology in younger men. Urology 50: 700–703

    Article  PubMed  CAS  Google Scholar 

  47. Roberts RO, Jacobsen SJ, Rhodes T (1997) A community based study on the prevalence of prostatitis. J Urol 157: 242A

    Article  Google Scholar 

  48. Nickel JC, Downey J, Hunter D et al. (2001) Prevalence of prostatitis-like symptoms in a population based study employing the NIH-chronic prostatitis symptom index (NIH-CPSI). J Urol 165: 842

    Article  PubMed  CAS  Google Scholar 

  49. Nicolle LE (2003) Asymptomatic bacteriuria:when to screen and when to treat. Infect Dis Clin North Am 17: 367–394

    Article  PubMed  Google Scholar 

  50. Kunin CM, McCormack RC (1968) An epidemiologic study of bacteriuria and blood pressure among nuns and working women. N Engl J Med 278: 635–642

    Article  PubMed  CAS  Google Scholar 

  51. Zhanel GG, Nicolle LE, Harding GKM (1995) Prevalence of asymptomatic bacteriuria in women with diabetes mellitus. Manitoba Diabetic Urinary Infection Study Group. Clin Infect Dis 21: 316–322

    PubMed  CAS  Google Scholar 

  52. Nicolle LE (1994) Urinary tract infection in the elderly. J Antimicrob Chemother 33: 99–109

    PubMed  Google Scholar 

  53. Nicolle LE. Asymptomatic bacteriuria in the elderly. Infect Dis Clin North Am 1997; 11:647–662

    Google Scholar 

  54. Nicolle LE (2000) UTIs. In:Evans JG, Williams TF, Beattie BL, Michel J-P, Wilcock JR, eds. Oxford textbook of geriatric medicine. 2nd ed. Oxford: Oxford University Press 700–710

    Google Scholar 

  55. Raz R (2001) Postmenopa 1 women with recurrent UTI. Int J Antimicrob Agents 17:269–271

    Article  PubMed  CAS  Google Scholar 

  56. Nicolle LE (2000) Urinary tract infections in the long-term care facility residents. Clin Infect Dis 31: 757–761

    Article  PubMed  CAS  Google Scholar 

  57. Cunningham FG, Lucas MJ (1994) Urinary tract infections complicating pregnancy. Baillieres Clin Obstet Gynaecol 8: 353–373

    Article  PubMed  CAS  Google Scholar 

  58. Andriole VT, Patterson TF. Epidemiology, natural history and management of urinary tract infections in pregnancy. Med Clin North Am 1991; 75: 359–373

    PubMed  CAS  Google Scholar 

  59. Pastore LM, Savitz DA, Thorp JM et al. (1999) Predictors of symptomatic urinary tract infection after 20 week’s gestation. J Perinatol 19: 488–493

    Article  PubMed  CAS  Google Scholar 

  60. Martinell J, Claesson I, Lidin-Janson G, Jodal U (1995) Urinary infection, reflux and renal scarring in females continuously followed for 13–38 years. Pediatr Nephrol 9: 131–136

    Article  PubMed  CAS  Google Scholar 

  61. Kiningham RB (1993) Asymptomatic bacteriuria in pregnancy. Am Fam Physician 47: 1232–1238

    PubMed  CAS  Google Scholar 

  62. Patterson JE, Andriole VT (1997) Bacterial urinary tract infections in diabetes. Infect Dis Clin North Am 11: 735–750

    Article  PubMed  CAS  Google Scholar 

  63. Hoepelman AIM, Meiland R, Geerlings SE (2003) Pathogenesis and management of bacterial urinary tract infections in adult patients with diabetes mellitus. Int J Antimicrob agents 22: S35–S43

    Article  CAS  Google Scholar 

  64. Shah BR, Hux JE (2003) Quantifying the risk of infectious diseases for people with diabetes. Diabetes care 26: 510–513

    Article  PubMed  Google Scholar 

  65. Efstathiou SP, Pefanis AV, Tsioulos DI et al. (2003) Acute pyelonephritis in adults: prediction of mortality and failure of treatment. Arch Intern Med 163: 1206–1212

    Article  PubMed  Google Scholar 

  66. Horcajada JP, Morenol I, Velasco M et al. (2003) Community-acquired febrile urinary tract infection in diabetes could deserve a different management: a case control study. J Intern Med 254: 280–286

    Article  PubMed  CAS  Google Scholar 

  67. Foxman B, Klenistine K, Brown PD (2003) Acute pyelonephritis in US hospitals in 1997: hospitalization and in-hospital mortality. Ann Epidemiol 13: 144–150

    Article  PubMed  Google Scholar 

  68. Flanigan TP, Hogan JW, Smith D et al. (1999) Self-reported bacterial infections among women with or at risk for human immunodeficiency virus infection. Clin Infect Dis 29: 608–612

    PubMed  CAS  Google Scholar 

  69. Schonwald S, Begovac J, Skerk V. Urinary tract infections in HIV disease. Int J Antimicrob Agents 1999; 11: 309–311

    Article  PubMed  CAS  Google Scholar 

  70. Evans JK, McOwan A, Hillman RJ, Forster GE (1995) Incidence of symptomatic urinary tract infections in HIV seropositive patients and the use of cotrimoxazole as prophylaxis against Pneumocystis carinii pneumonia. Genitourin Med 71:120–122

    PubMed  CAS  Google Scholar 

  71. Ojoo J, Paul J, Batchelor B et al. (1996) Bacteriuria in a cohort of predominantly HIV-1 seropositive female commercial sex workers in Nairobi, Kenya. J Infect 33:33–37

    Article  PubMed  CAS  Google Scholar 

  72. Talan DA, Stamm WE, Hooton TM et al. (2000) Comparison of ciprofloxacin (7 days) and trimethoprim sulfamethoxazole (14 days) for acute uncomplicated pyelonephritis in women. JAMA 283: 1583–1590

    Article  PubMed  CAS  Google Scholar 

  73. Foxman B, Zhang L, Tallman P et al. (1995) Virulence characteristics of Escherichia coli causing first urinary tract infection predict risk of second infection. J Infect Dis 172: 1536–1541

    PubMed  CAS  Google Scholar 

  74. Svanborg C, Godlay G (1997) Bacterial virulence in urinary tract infection. Infect Dis Clin North Am 11: 513–530

    Article  PubMed  CAS  Google Scholar 

  75. Roberts JA. Etiology and pathophysiology of pyelonephritis. Am J Kidney Dis 1991; 17: 1–9

    PubMed  CAS  Google Scholar 

  76. Nicolle LE (2001) Epidemiology of urinary tract infection. InfectMedl8: 153–162

    Google Scholar 

  77. Beam TR, Gilbert DN, Kunin CM, with modification by a European Working Party (1993) European Guidelines for the Clinical Evaluation of Anti-Infective Drug Products. The European Society of Clinical Microbiology and Infectious Diseases

    Google Scholar 

  78. Gupta K, Scholes D, Stamm WE (1999) Increasing prevalence of antimicrobial resistance among uropathogens causing acute uncomplicated cystitis in women. JAMA 281: 736–738

    Article  PubMed  CAS  Google Scholar 

  79. Nicolle LE (1997) A practical guide to the management of complicated urinary tract infections. Drugs 53: 583–592

    Article  PubMed  CAS  Google Scholar 

  80. Bengtsson C, Bengtsson U, Bjorkelund C et al. (1998) Bacteriuria in a population sample of women: 24-year follow-up study. Results from the prospective population-based study of women in Gottenburg, Sweden. Scand J Urol Nephrol 32: 284–289

    Article  PubMed  CAS  Google Scholar 

  81. Cafferkey MT, Falkiner FR, Gillespie WA et al. (1982) Antibiotics for the prevention of septicaemia in urology. J Antimicrob Chemother 9: 471–476

    Article  PubMed  CAS  Google Scholar 

  82. Warren JW (1997) Catheter-associated urinary tract infections. Infect Dis Clin North Am 11: 609–622

    Article  PubMed  CAS  Google Scholar 

  83. Smith PW, Seip CW, Schaefer SC, Bell-Dixon C (2000) Microbiologic survey of long-term care facilities. Am J Infect Control 28: 8–13

    Article  PubMed  CAS  Google Scholar 

  84. Nicolle LE (2000) Infection control in the long term care facilities. Clin Infect Dis 31: 752–755

    Article  PubMed  CAS  Google Scholar 

  85. Raz R, Oker N, Kennes Y et al. (2000) Demographic characteristics of patients with community-acquired bacteriuria and susceptibility of urinary pathogens to antimicrobials in Northern Israel. Isr Med Assoc J 2: 426–429

    PubMed  CAS  Google Scholar 

  86. Meiland R, Geerlings SE, Langermann S et al. (2004) Fim CH antiserum inhibits the adherence of Escherichia coli to cells collected by voided urine specimens of diabetic women. J Urol 171: 1589–1593

    Article  PubMed  Google Scholar 

  87. Rodriguez-Bano J, Navarro MD, Romero L et al. Epidemiology and clinical features of infections caused by extended spectrum beta-lactamase producing Escherichia coli in non-hospitalized patients. J Clin Microbiol; 42: 1089–1094

    Google Scholar 

  88. Lummus WE, Thompson I. Prostatitis. In Emergency Medicine Clinics of North America 2001; 19:691–707

    Article  PubMed  CAS  Google Scholar 

  89. Weidner W, Schieffer HG, Kraus H et al. (1991) Chronic prostatitis:a thorough search for etiologically involved microorganisms in 1461 patients. Infection 19(suppl 3): 119–112

    Article  Google Scholar 

  90. Naber KG and the European Lomefloxacin Prostatitis Study Group (2002) Lomefloxacin vs ciprofloxacin in the treatment of chronic bacterial prostatitis. Int J Antimicrob Agents 20: 18–27

    Article  PubMed  CAS  Google Scholar 

  91. Botto H (2003) Place de la lévofloxacine dans la prise en charge des infections prostatiques. Med Mal Infect 33(suppl B): 62–33

    Google Scholar 

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Elkharrat, D., Arrouy, L., Benhamou, F., Dray, A., Grenet, J., Corre, A.L. (2007). Épidémiologie de l’infection urinaire communautaire de l’adulte en France. In: Les infections urinaires. Monographies en urologie. Springer, Paris. https://doi.org/10.1007/978-2-287-48617-3_1

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  • DOI: https://doi.org/10.1007/978-2-287-48617-3_1

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  • Print ISBN: 978-2-287-25172-6

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