Urinary tract infections: microbial pathogenesis, host–pathogen interactions and new treatment strategies

Roger D. Klein, Scott J. Hultgren

Research output: Contribution to journalReview articlepeer-review

28 Scopus citations

Abstract

Urinary tract infections (UTIs) are common, recurrent infections that can be mild to life-threatening. The continued emergence of antibiotic resistance, together with our increasing understanding of the detrimental effects conferred by broad-spectrum antibiotic use on the health of the beneficial microbiota of the host, has underscored the weaknesses in our current treatment paradigm for UTIs. In this Review, we discuss how recent microbiological, structural, genetic and immunological studies have expanded our understanding of host–pathogen interactions during UTI pathogenesis. These basic scientific findings have the potential to shift the strategy for UTI treatment away from broad-spectrum antibiotics targeting conserved aspects of bacterial replication towards pathogen-specific antibiotic-sparing therapeutics that target core determinants of bacterial virulence at the host–pathogen interface.

Original languageEnglish
Pages (from-to)211-226
Number of pages16
JournalNature Reviews Microbiology
Volume18
Issue number4
DOIs
StatePublished - Apr 1 2020

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