Cystitis secondary prevention: Difference between revisions
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===Antimicrobial Prophylaxis=== | ===Antimicrobial Prophylaxis=== | ||
*Prophylactic therapy using antimicrobial agents may be considered among women with recurrent episodes of cystitis that are associated with sexual activity. | *Prophylactic therapy using antimicrobial agents may be considered among women with recurrent episodes of cystitis that are associated with sexual activity. | ||
*The following regimens may be used as single doses prior to sexual activity. | *The following regimens may be used as single doses prior to sexual activity.<ref name="pmid21292654">{{cite journal| author=Gupta K, Hooton TM, Naber KG, Wullt B, Colgan R, Miller LG et al.| title=International clinical practice guidelines for the treatment of acute uncomplicated cystitis and pyelonephritis in women: A 2010 update by the Infectious Diseases Society of America and the European Society for Microbiology and Infectious Diseases. | journal=Clin Infect Dis | year= 2011 | volume= 52 | issue= 5 | pages= e103-20 | pmid=21292654 | doi=10.1093/cid/ciq257 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21292654 }} </ref> | ||
*'''Prophylactic Therapy''': | |||
:*Preferred regimen (1): [[Fosfomycin]] tromethamine 3 g PO in a single dose | :*Preferred regimen (1): [[Fosfomycin]] tromethamine 3 g PO in a single dose | ||
:*Preferred regimen (2): [[Nitrofurantoin]] monohydrate/macrocrystals 100 mg PO in a single dose | :*Preferred regimen (2): [[Nitrofurantoin]] monohydrate/macrocrystals 100 mg PO in a single dose | ||
Revision as of 21:25, 13 January 2017
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Overview
Secondary prophylaxis of Cystitis is useful to prevent recurrent cystitis. It is more beneficial in patients in which Cystitis is associated with sexual intercourse, a structural defect or a disease like Diabetes that can lead to recurrent infections.
Secondary Prevention
The secondary Prevention of Cystitis includes the prophylaxis to prevent recurrent cystitis.
Antimicrobial Prophylaxis
- Prophylactic therapy using antimicrobial agents may be considered among women with recurrent episodes of cystitis that are associated with sexual activity.
- The following regimens may be used as single doses prior to sexual activity.[1]
- Prophylactic Therapy:
- Preferred regimen (1): Fosfomycin tromethamine 3 g PO in a single dose
- Preferred regimen (2): Nitrofurantoin monohydrate/macrocrystals 100 mg PO in a single dose
- Preferred regimen (3): Trimethoprim-Sulfamethoxazole 160/800 mg PO double-strength tablet bid in a single dose
- Preferred regimen (4): Trimethoprim 100 mg PO bid in a single dose
- Alternative regimen (1): Ciprofloxacin 250 mg PO bid in a single dose
- Alternative regimen (2): Levofloxacin 250 mg PO qd in a single dose
- Alternative regimen (3): Norfloxacin 400 mg PO bid in a single dose
- Alternative regimen (4): Gatifloxacin 200 mg PO qd in a single dose
References
- ↑ Gupta K, Hooton TM, Naber KG, Wullt B, Colgan R, Miller LG; et al. (2011). "International clinical practice guidelines for the treatment of acute uncomplicated cystitis and pyelonephritis in women: A 2010 update by the Infectious Diseases Society of America and the European Society for Microbiology and Infectious Diseases". Clin Infect Dis. 52 (5): e103–20. doi:10.1093/cid/ciq257. PMID 21292654.