Evidence map›Paper›PMID 39859990›Full record

ArticleLife (Basel, Switzerland)2025

Reshaping Resistance: How Autovaccine Therapy Alters the Course of Recurrent Multidrug-Resistant Urinary Tract Infections.

Alexandru Ciudin, Bernat Padulles, Pasqualino Manasia, Josep Alcoberro, Cristian Toma, Răzvan Popescu, Cristian Persu, Antonio Aguilar

Abstract read
In one paragraph

Article in Life (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Alexandru CiudinUrology Department, Hospital Universitari de Mollet, 08100 Barcelona, Spain.ORCID 0000-0002-0091-9688
Bernat PadullesUrology Department, Hospital Universitari de Mollet, 08100 Barcelona, Spain.
Pasqualino ManasiaUrology Department, Hospital Universitari de Mollet, 08100 Barcelona, Spain.
Josep AlcoberroUrology Department, Hospital Universitari de Mollet, 08100 Barcelona, Spain.
Cristian TomaUrology Department, Spitalul Clinic "Prof. Dr. Th. Burghele", 061344 Bucuresti, Romania.ORCID 0000-0003-4396-8081
Răzvan PopescuUrology Department, Spitalul Clinic "Prof. Dr. Th. Burghele", 061344 Bucuresti, Romania.ORCID 0000-0002-6614-2816
Cristian PersuUrology Department, Spitalul Clinic "Prof. Dr. Th. Burghele", 061344 Bucuresti, Romania.ORCID 0000-0003-4530-684X
Antonio AguilarUrology Department, Hospital Universitari de Mollet, 08100 Barcelona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesUrinary tract infections (UTIs) caused by multidrug-resistant (MDR) bacteria pose a considerable challenge due to high treatment failure rates and associated healthcare costs. This pioneering study evaluates the effectiveness of personalized autovaccine therapy in managing recurrent UTIs in patients with MDR bacteria, aiming to offer an innovative treatment that reduces antibiotic resistance and hospitalizations.

methodsIn this prospective, single-center study, 40 patients with recurrent MDR UTIs received personalized sublingual autovaccines derived from their own bacterial isolates. The study assessed UTI recurrence rates, changes in antibiotic use, and hospitalization days over 12 months.

resultsThe autovaccine therapy significantly reduced UTI recurrence, with 67.5% of patients experiencing fewer infections. Antibiotic usage decreased by 74.4%, and total hospitalization days annually reduced from 400 to 216. A significant shift was observed from MDR to multi-susceptible bacterial profiles among participants.

conclusionsThis study is the first to demonstrate that autovaccine therapy is a safe and effective approach for managing recurrent UTIs caused by MDR bacteria, significantly lowering infection frequency, antibiotic needs, and hospitalization. These findings support integrating autovaccine therapy into standard UTI management to combat antibiotic resistance and lessen healthcare burdens.

Indexed as

antibiotic resistanceantibiotic stewardshipautovaccine therapybacterial immunotherapyhealthcare resource utilizationinfection recurrencemultidrug-resistant bacteriapersonalized medicinesublingual vaccinationurinary tract infections (UTIs)

Identifiers

PMID39859990
PMCPMC11766521

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.