Health

UTI Vaccine Spray May Prevent Recurrence for 9 Years, Study Shows

By Alberta Herman

April 28, 2024

49

Urinary tract infections (UTIs) are a common health issue affecting millions of people worldwide, particularly women. These infections can cause severe discomfort and potential complications if they reach the kidneys. However, recent studies have shown promising results from a new UTI vaccine mouth spray named Uromune. 
 
Uromune is formulated with four bacteria types: Proteus vulgaris, Klebsiella pneumoniae, Escherichia coli, and Enterococcus faecalis, which account for approximately 88% of UTIs. The bacteria in the vaccine are heat-inactivated to maintain their surface proteins intact so that they can be recognized by the immune system. 
 
The vaccine has been tested in two separate studies: one without a placebo group and another more rigorous clinical trial involving a control group receiving placebos. In both trials, over 50% of participants who used the pineapple-flavored mouth spray did not experience recurring UTIs for months on end. 
 
In one UK-based trial involving 75 female participants with an extensive history of recurrent UTIs—at least three within the preceding year—nearly 60% remained infection-free after using Uromune daily for three months. A follow-up study found similar results up to nine years post-administration among patients who continued using it regularly. 
 
These findings were presented during April's European Association of Urology Congress, held in Paris this year. It was reported that roughly half of all participants remained free from infection for an average period equivalent to about four and a-half years, or approximately 55 months, following administration of Uromune. 
 
Furthermore, compared to only 25% in the placebo group during a gold-standard clinical trial involving controls taking placebos, between 56 and 58% of women spraying either three or six times monthly stayed clear of any signs indicating urinary tract infection until up to nine full months later on! 
 
However exciting these results may seem, caution must still be exercised as there are certain limitations. The vaccine's trials have only tested for uncomplicated UTIs and not infections involving kidneys, fever, catheters, or other complications. 
 
Also, the responses to the vaccines varied among different individuals. This could be attributable to individual differences in susceptibility to infection and immune system responses. Nonetheless, it is encouraging that about half of the participants responded positively to Uromune. 
 
The potential impact of this new UTI vaccine cannot be overstated. Currently, many patients with recurrent UTIs rely on preventative antibiotics, which can lead to antibiotic resistance over time and disrupt beneficial gut bacteria balance within their bodies. 
 
Uromune offers a promising alternative strategy by training our body’s own immune system against common causative agents involved in causing urinary tract infections, primarily instead of relying solely upon antimicrobial pharmacological interventions alone! 
 
As of yet, FDA approval for Uromune still remains pending, but 26 other countries have already made it available under compassionate use provisions, allowing access even outside formal clinical trial settings, especially those unresponsive to conventional treatment modalities thus far! 
 
Despite these limitations, however, both researchers, Jennifer Rohn from University College London and Dr. Glenn Werneburg from Cleveland Clinic, are optimistic about Uromune’s potential as an effective treatment option for recurrent UTIs given its demonstrated efficacy across diverse patient populations during preliminary study phases so far!


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