MANAGEMENT OF UNCOMPLICATED CYSTITIS IN WOMEN IN FAMILY PRACTICE

<p>Background. Acute uncomplicated cystitis in women is one of the most common infections in women. Recent studies have made treatment of acute uncomplicated cystitis in women shorter and less complicated. We summarize the literature on treatment of women with acute uncomplicated cystitis in f...

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Bibliographic Details
Main Authors: Josip Car, Tanja Marinko
Format: Article
Language:English
Published: Slovenian Medical Association 2003-02-01
Series:Zdravniški Vestnik
Subjects:
Online Access:http://vestnik.szd.si/index.php/ZdravVest/article/view/1788
Description
Summary:<p>Background. Acute uncomplicated cystitis in women is one of the most common infections in women. Recent studies have made treatment of acute uncomplicated cystitis in women shorter and less complicated. We summarize the literature on treatment of women with acute uncomplicated cystitis in family practice and outline the approach to investigations and follow-up visits.</p><p>Conclusions. Women with characteristic clinical picture of acute uncomplicated cystitis shall be treated in family practice empirically with trimethoprim-sulfamethoxazole (160 mg/800 mg/12 h) for three days. There is no need for follow-up visit after successful treatment. Patients with known allergy or resistance to trimethoprim-sulfamethoxazole are treated with second choice drugs – fluoroquinolons (norfloxacin 400 mg twice a day, ciprofloxacin 250 mg twice a day). In the case of uncharacteristic clinical picture for acute cystitis or uncharacteristic laboratory results and in the case of unsuccessful three-day empirical treatment urine culture has to be performed and gynaecological examination as well. The patient should be educated about non-specific treatment and about preventive measures.<br /><br /></p>
ISSN:1318-0347
1581-0224