{"id":5860,"date":"2024-01-17T18:46:55","date_gmt":"2024-01-17T17:46:55","guid":{"rendered":"https:\/\/feeli.io\/blog\/?p=5860"},"modified":"2024-12-12T17:15:41","modified_gmt":"2024-12-12T16:15:41","slug":"antibiotique-infection-urinaire","status":"publish","type":"post","link":"https:\/\/feeli.io\/blog\/antibiotique-infection-urinaire\/","title":{"rendered":"Antibiotique et infection urinaire : l&rsquo;importance du diagnostic"},"content":{"rendered":"\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Le traitement de l\u2019<strong>infection urinaire<\/strong> repose g\u00e9n\u00e9ralement sur la prise d\u2019un <strong>antibiotique <\/strong>(lire aussi <a href=\"https:\/\/feeli.io\/blog\/douleur-bas-ventre\/\">douleur au bas ventre<\/a>). <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Face \u00e0 la r\u00e9sistance bact\u00e9rienne de certaines souches, en particulier Escherichia coli, le choix de l\u2019antibioth\u00e9rapie doit \u00eatre \u00e9valu\u00e9 par un professionnel de la sant\u00e9.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Quels sont les antibiotiques les plus souvent prescrits ? Que faire en pr\u00e9sence de cystites r\u00e9cidivantes ? L\u2019antibioth\u00e9rapie est-elle indiqu\u00e9e pour le traitement de l\u2019infection urinaire chez l&rsquo;enfant ? On fait le point avec l\u2019\u00e9quipe m\u00e9dicale de Feeli.<\/p>\n\n\n\n<div class=\"wp-block-cover aligncenter is-light padding:20px;\" style=\"min-height:310px;aspect-ratio:unset;\"><img loading=\"lazy\" decoding=\"async\" width=\"500\" height=\"500\" class=\"wp-block-cover__image-background wp-image-2861\" alt=\"\" src=\"https:\/\/feeli.io\/blog\/wp-content\/uploads\/2023\/06\/Design-sans-titre-1-2.png\" data-object-fit=\"cover\" srcset=\"https:\/\/feeli.io\/blog\/wp-content\/uploads\/2023\/06\/Design-sans-titre-1-2.png 500w, https:\/\/feeli.io\/blog\/wp-content\/uploads\/2023\/06\/Design-sans-titre-1-2-300x300.png 300w, https:\/\/feeli.io\/blog\/wp-content\/uploads\/2023\/06\/Design-sans-titre-1-2-150x150.png 150w\" sizes=\"auto, (max-width: 500px) 100vw, 500px\" \/><span aria-hidden=\"true\" class=\"wp-block-cover__background has-background-dim wp-block-cover__gradient-background has-background-gradient\" style=\"background:linear-gradient(135deg,rgba(38,181,169,0.11) 0%,rgba(38,181,169,0.11) 100%)\"><\/span><div class=\"wp-block-cover__inner-container is-layout-flow wp-block-cover-is-layout-flow\">\n<p class=\"has-text-align-center wp-block-heading has-text-color wp-block-paragraph\" style=\"color:#26b4a9;font-size:28px\"><strong>Consultez un m\u00e9decin en ligne<\/strong> <\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\" style=\"font-size:15px\">Besoin d\u2019un&nbsp;<strong>m\u00e9decin sans RDV&nbsp;<\/strong>? <br>Consultez rapidement en ligne. <br>Possibilit\u00e9 de recevoir un&nbsp;<strong>traitement<\/strong>&nbsp;adapt\u00e9 si n\u00e9cessaire. <br><em>Consultation&nbsp;par messagerie instantan\u00e9e<\/em>.<\/p>\n\n\n\n<div class=\"wp-block-group alignwide is-vertical is-content-justification-center is-layout-flex wp-container-core-group-is-layout-20d0575b wp-block-group-is-layout-flex\">\n<div class=\"wp-block-buttons alignwide is-content-justification-center is-nowrap is-layout-flex wp-container-core-buttons-is-layout-5d0ac371 wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button has-custom-width wp-block-button__width-100 is-style-outline is-style-outline--1\"><a class=\"wp-block-button__link has-white-color has-text-color has-background has-medium-font-size has-custom-font-size wp-element-button\" href=\"https:\/\/feeli.io\/symptome\/generaliste?utm_source=feeli-blog&amp;utm_channel=seo\" style=\"border-radius:100px;background:linear-gradient(135deg,rgb(42,170,224) 1%,rgb(182,227,212) 100%,rgb(41,216,193) 100%)\"><strong>Consulter d\u00e8s maintenant <\/strong>\ud83d\udcac<\/a><\/div>\n<\/div>\n<\/div>\n<\/div><\/div>\n\n\n\n<ol style=\"background-color:#26b5a91c\" class=\"wp-block-list has-background\">\n<li><strong><a href=\"#1\">Antibiotique infection urinaire : d\u00e9finition, causes et types<\/a><\/strong><\/li>\n\n\n\n<li><strong><a href=\"#2\">Quel est l\u2019antibiotique le plus efficace pour l\u2019infection urinaire ?<\/a><\/strong><\/li>\n\n\n\n<li><strong><a href=\"#3\">Comment diagnostiquer une infection urinaire ?<\/a><\/strong><\/li>\n\n\n\n<li><strong><a href=\"#4\">Infection urinaire qui r\u00e9siste malgr\u00e9 les antibiotiques : que faire ?<\/a><\/strong><\/li>\n<\/ol>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading has-text-color\" style=\"color:#26b4a9;font-size:25px\"><strong><a id=\"1\">Antibiotique et infection urinaire : d\u00e9finition, causes et types<\/a><\/strong><\/h2>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">L\u2019infection urinaire se caract\u00e9rise par la <strong>colonisation et la multiplication anormale de micro-organismes dans les voies urinaires<\/strong>, le plus souvent par des bact\u00e9ries. Les infections urinaires non bact\u00e9riennes sont en effet moins fr\u00e9quentes.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Par ailleurs, l\u2019infection urinaire peut affecter diff\u00e9rentes parties de l&rsquo;appareil urinaire, allant des voies urinaires basses (vessie, ur\u00e8tre, prostate) aux reins (py\u00e9lon\u00e9phrite).&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">En fonction de la localisation de l\u2019infection, on peut parler de cystite (infection de la vessie), d\u2019ur\u00e9trite (infection de l&rsquo;ur\u00e8tre) ou encore de prostatite chez l\u2019homme (l&rsquo;infection de la prostate).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Parmi les agents pathog\u00e8nes les plus souvent impliqu\u00e9s lors d\u2019une infection urinaire, nous pouvons \u00e9voquer :&nbsp;<\/p>\n\n\n\n<ul style=\"background-color:#26b5a91c\" class=\"wp-block-list has-background\">\n<li><em>Escherichia coli <\/em>;<\/li>\n\n\n\n<li><em>Klebsiella pneumoniae<\/em> ;<\/li>\n\n\n\n<li><em>Proteus mirabilis<\/em>.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Cette <strong>colonisation bact\u00e9rienne<\/strong> entra\u00eene diff\u00e9rents sympt\u00f4mes de types urinaires, allant de l\u2019<strong>urgenturie<\/strong> (envie imp\u00e9rieuse d\u2019uriner) \u00e0 la <strong>dysurie<\/strong> (douleurs lors de la miction). Ces sympt\u00f4mes s&rsquo;accompagnent parfois de fi\u00e8vre.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00c0 lire aussi : <a href=\"https:\/\/feeli.io\/blog\/infection-urinaire-un-traitement-sans-ordonnance\/\">traitement infection urinaire sans ordonnance<\/a>&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading has-text-color has-medium-font-size\" style=\"color:#26b4a9\"><strong><em>Les diff\u00e9rents types d\u2019infection urinaire (cystite, py\u00e9lon\u00e9phrite, ur\u00e9trite)<\/em><\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Les infections urinaires sont class\u00e9es en fonction de leur localisation dans les voies urinaires, telles que :&nbsp;<\/p>\n\n\n\n<ul style=\"background-color:#26b5a91c\" class=\"wp-block-list has-background\">\n<li>La <strong><a href=\"https:\/\/feeli.io\/blog\/cystite-femme\/\">cystite chez la femme<\/a><\/strong> concerne principalement l\u2019infection de la vessie. La cystite est g\u00e9n\u00e9ralement trait\u00e9e avec des antibiotiques \u00e0 spectre \u00e9troit. Les sympt\u00f4mes peuvent inclure :\n<ul class=\"wp-block-list\">\n<li>Des br\u00fblures lors de la miction ;<\/li>\n\n\n\n<li>Le besoin d\u2019uriner fr\u00e9quemment ;<\/li>\n\n\n\n<li>Des douleurs pelviennes.&nbsp;<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>La <strong>py\u00e9lon\u00e9phrite<\/strong> affecte les reins et n\u00e9cessite g\u00e9n\u00e9ralement un antibiotique plus puissant (voir <a href=\"https:\/\/feeli.io\/blog\/mal-au-ventre-et-au-dos-en-meme-temps\/\">mal au ventre et au dos<\/a>). La py\u00e9lon\u00e9phrite entra\u00eene des sympt\u00f4mes plus graves, comme :\n<ul class=\"wp-block-list\">\n<li>De la fi\u00e8vre ;&nbsp;<\/li>\n\n\n\n<li>Une douleur lombaire ;<\/li>\n\n\n\n<li>Des frissons.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>L&rsquo;<strong>ur\u00e9trite<\/strong> est une inflammation de l\u2019ur\u00e8tre, g\u00e9n\u00e9ralement caus\u00e9e par une infection sexuellement transmissible (IST). Le choix de l\u2019antibioth\u00e9rapie d\u00e9pend de la cause de l\u2019ur\u00e9trite. Les sympt\u00f4mes peuvent comprendre :\n<ul class=\"wp-block-list\">\n<li>Une dysurie (difficult\u00e9 \u00e0 uriner),&nbsp;<\/li>\n\n\n\n<li>Des douleurs g\u00e9nitales ;&nbsp;<\/li>\n\n\n\n<li>Un \u00e9coulement anormal.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u00c0 lire aussi : <a href=\"https:\/\/feeli.io\/blog\/traitement-cystite\/\">quel est le traitement de la cystite<\/a>&nbsp;<\/p>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading has-text-color\" style=\"color:#26b4a9;font-size:25px\"><strong><a id=\"2\">Quel est l\u2019antibiotique le plus efficace pour l\u2019infection urinaire ?<\/a><\/strong><\/h2>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Les infections urinaires d\u2019origine bact\u00e9rienne n\u00e9cessitent g\u00e9n\u00e9ralement un traitement antibiotique. Sans antibiotiques, la dur\u00e9e de l\u2019infection urinaire peut \u00eatre plus longue, les sympt\u00f4mes plus s\u00e9v\u00e8res, voire dans certains cas, entra\u00eener des complications.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Le premier geste \u00e0 adopter est donc de <strong>consulter un <\/strong><a href=\"https:\/\/feeli.io\/symptome\/generaliste\"><strong>m\u00e9decin g\u00e9n\u00e9raliste<\/strong><\/a> afin de recevoir un diagnostic et un traitement adapt\u00e9.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Concernant les antibiotiques, ils agissent en ciblant sp\u00e9cifiquement la structure cellulaire des bact\u00e9ries. Leur mode d\u2019action permet non seulement d\u2019emp\u00eacher la croissance des bact\u00e9ries, mais aussi de les \u00e9liminer.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">En fonction du profil bact\u00e9rien sp\u00e9cifique, de nombreux antibiotiques peuvent \u00eatre prescrits, selon les agents pathog\u00e8nes responsables de l\u2019infection.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00c0 lire aussi : <a href=\"https:\/\/feeli.io\/blog\/fosfomycine-sans-ordonnance\/\">fosfomycine sans ordonnance<\/a><\/p>\n\n\n\n<h3 class=\"wp-block-heading has-text-color has-medium-font-size\" style=\"color:#26b4a9\"><strong><em>Antibiotiques fr\u00e9quemment utilis\u00e9s dans le traitement des infections urinaires<\/em><\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Parmi les antibiotiques fr\u00e9quemment prescrits, nous pouvons citer :&nbsp;<\/p>\n\n\n\n<ul style=\"background-color:#26b5a91c\" class=\"wp-block-list has-background\">\n<li><strong>La <a href=\"https:\/\/feeli.io\/blog\/fosfomycine\/\">fosfomycine<\/a>, \u00e9galement commercialis\u00e9e sous le nom de marque <a href=\"https:\/\/feeli.io\/blog\/monuril\/\">Monuril<\/a>, est g\u00e9n\u00e9ralement l&rsquo;antibiotique le plus efficace pour l&rsquo;infection urinaire. <\/strong>Elle se distingue par son mode d\u2019action unique. De plus, la fosfomycine ne n\u00e9cessite qu\u2019une seule dose pour \u00eatre efficace, ce qui en fait une option pratique. Elle est particuli\u00e8rement utile contre <em>Escherichia coli<\/em> ;<\/li>\n\n\n\n<li>Le <strong>trim\u00e9thoprime\/sulfam\u00e9thoxazole<\/strong> (ou cotrimoxazole), une association d\u2019antibiotiques, est une autre option efficace contre divers pathog\u00e8nes ;<\/li>\n\n\n\n<li>La <strong>nitrofuranto\u00efne<\/strong> poss\u00e8de \u00e9galement une forte action bact\u00e9ricide. Elle est particuli\u00e8rement efficace contre les bact\u00e9ries gram-n\u00e9gatives, souvent impliqu\u00e9es dans les infections urinaires ;<\/li>\n\n\n\n<li>Les <strong>fluoroquinolones<\/strong>, comme la ciprofloxacine, couvre un large spectre antimicrobien, malgr\u00e9 la r\u00e9sistance croissante d\u2019Escherichia coli ;<\/li>\n\n\n\n<li>Ou encore, l\u2019<strong>amoxicilline\/acide clavulanique<\/strong>.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u00c0 lire aussi : <a href=\"https:\/\/feeli.io\/blog\/comment-soigner-une-infection-urinaire-en-10-minutes\/\">comment soigner une infection urinaire en 10 minutes<\/a><\/p>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading has-text-color\" style=\"color:#26b4a9;font-size:25px\"><strong><a id=\"3\">Comment diagnostiquer une infection urinaire ?<\/a><\/strong><\/h2>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Des examens compl\u00e9mentaires ne sont pas toujours n\u00e9cessaires, mais peuvent parfois aider \u00e0 <strong>cibler un agent pathog\u00e8ne et localiser l\u2019infection<\/strong> (voies urinaires basses ou hautes).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Les examens pouvant \u00eatre r\u00e9alis\u00e9s dans le cadre du diagnostic de l\u2019infection urinaire peuvent par exemple comprendre :&nbsp;<\/p>\n\n\n\n<ul style=\"background-color:#26b5a91c\" class=\"wp-block-list has-background\">\n<li>Des <strong>analyses d\u2019urine <\/strong>et un<strong> ECBU<\/strong> (examen cytobact\u00e9riologique des urines) ;<\/li>\n\n\n\n<li>L\u2019<strong>\u00e9chographie<\/strong> ;<\/li>\n\n\n\n<li>L\u2019<strong>imagerie par r\u00e9sonance magn\u00e9tique<\/strong> (IRM) ;<\/li>\n\n\n\n<li>La <strong>cystoscopie<\/strong>, lorsque la visualisation de l\u2019int\u00e9rieur de l\u2019ur\u00e8tre et\/ou de la vessie est n\u00e9cessaire.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Pour un diagnostic et un traitement adapt\u00e9, vous pouvez consulter un <a href=\"https:\/\/feeli.io\/symptome\/medecin-sans-rdv\">m\u00e9decin sans RDV<\/a> \u00e0 tout moment sur Feeli. Des m\u00e9decins et\/ou sp\u00e9cialistes sont disponibles 24\/7 \u00e0 distance.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00c0 lire aussi : <a href=\"https:\/\/feeli.io\/blog\/comment-soigner-une-cystite\/\">comment soigner une cystite<\/a>&nbsp;&nbsp;<\/p>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading has-text-color\" style=\"color:#26b4a9;font-size:25px\"><strong><a id=\"4\">Infection urinaire qui r\u00e9siste malgr\u00e9 les antibiotiques : que faire ?<\/a><\/strong><\/h2>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Lorsque l\u2019infection urinaire r\u00e9siste aux antibiotiques classiques, la cystite r\u00e9cidivante peut devenir une source importante d\u2019inconfort et de frustration.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Face \u00e0 cette difficult\u00e9, les m\u00e9decins ont d\u00e9velopp\u00e9 d\u2019autres approches th\u00e9rapeutiques, y compris la <strong>prophylaxie<\/strong>, un traitement antibiotique pr\u00e9ventif. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Dans tous les cas, un avis m\u00e9dical est indispensable, par exemple en <a href=\"https:\/\/feeli.io\/symptome\/teleconsultation\">t\u00e9l\u00e9consultation<\/a>, lorsque vous souhaitez un diagnostic sans vous d\u00e9placer.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">En cas de cystites r\u00e9cidivantes, les m\u00e9decins ont plusieurs options :&nbsp;<\/p>\n\n\n\n<ul style=\"background-color:#26b5a91c\" class=\"wp-block-list has-background\">\n<li>Premi\u00e8rement, <strong>identifier les causes sous-jacentes<\/strong> <strong>\u00e0 cette r\u00e9sistance aux antibiotiques<\/strong>. Certaines souches bact\u00e9riennes sont par exemple plus robustes que d\u2019autres, mais une utilisation inappropri\u00e9e ou excessive des antibiotiques peut \u00e9galement conduire \u00e0 une r\u00e9sistance ;<\/li>\n\n\n\n<li>Mettre en place un <strong>traitement prophylactique<\/strong> avec un antibiotique. La prophylaxie est un traitement pr\u00e9ventif parfois recommand\u00e9 pour pr\u00e9venir les cystites r\u00e9cidivantes. Les personnes doivent prendre r\u00e9guli\u00e8rement un antibiotique \u00e0 faible dose, sur une p\u00e9riode prolong\u00e9e, afin d\u2019\u00e9viter les cystites ;<\/li>\n\n\n\n<li><strong>Adopter des gestes de pr\u00e9vention <\/strong>: boire beaucoup d\u2019eau, avoir une hygi\u00e8ne ad\u00e9quate (ni insuffisante, ni excessive), \u00e9viter les facteurs de risque, comme les produits irritants (alcool, \u00e9pices, tabac, etc.), etc ;<\/li>\n\n\n\n<li><strong>Consulter un sp\u00e9cialiste,<\/strong> comme l\u2019urologue ou l\u2019infectiologue. Lorsque les cystites se font trop fr\u00e9quentes, un m\u00e9decin g\u00e9n\u00e9raliste pourra vous orienter vers un sp\u00e9cialiste, afin de trouver la strat\u00e9gie ad\u00e9quate.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Pour aller plus loin : <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/feeli.io\/blog\/comment-soigner-une-infection-urinaire\/\">Comment soigner une infection urinaire<\/a>\u00a0<\/li>\n\n\n\n<li><a href=\"https:\/\/feeli.io\/blog\/infection-urinaire-homme\/\">Infection urinaire chez l\u2019homme<\/a><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Le traitement de l\u2019infection urinaire repose g\u00e9n\u00e9ralement sur la prise d\u2019un antibiotique (lire aussi douleur au bas ventre). Face \u00e0 la r\u00e9sistance bact\u00e9rienne de certaines souches, en particulier Escherichia coli, le choix de l\u2019antibioth\u00e9rapie doit \u00eatre \u00e9valu\u00e9 par un professionnel de la sant\u00e9. Quels sont les antibiotiques les plus souvent prescrits ? Que faire en&#8230;<a class=\"btnReadMore\" href=\"https:\/\/feeli.io\/blog\/antibiotique-infection-urinaire\/\">En savoir plus<i class=\"fa fa-long-arrow-right\"><\/i><\/a><\/p>\n","protected":false},"author":1,"featured_media":2845,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[8,25],"tags":[],"class_list":["post-5860","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-medicaments","category-sante-feminine"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Quel est l&#039;antibiotique le plus efficace pour l&#039;infection urinaire ?<\/title>\n<meta name=\"description\" content=\"Vous souffrez d&#039;une infection urinaire ? 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