Complex treatment of recurrent cystitis

DOI: 10.22591/magyurol.2018.3.magyara.117

Authors:
Magyar András dr., Köves Béla dr.
Jahn Ferenc Dél-pesti Kórház és Rendelőintézet, Urológiai osztály, Budapest (osztályvezető: Tenke Péter dr.)

Summary

About half of the women experience at least one episode of acute cystitis during their lifetime. In acute cystitis the most often isolated causative pathogen is E. coli bacteria. The rapid increase in bacterial resistance to antibiotics is a well-known problem, which results in significant difficulties during the treatment of urinary tract infections, especially recurrent acute cystitis. Recently several international cooperation has been initiated to establish the proper treatment strategies. Treatment of recurrent acute cystitis exclusively with antibiotics, in the long term, results in the increase of resistance and prolonged, recurrent symptoms of cystitis. The main strategies to prevent the increase in bacterial antibiotic resistance are prudent antibiotic use, implementation of non-antibiotical modalities for treatment and prevention of recurrent cystitis, development of new, fast, reliable diagnostic tools, diagnosis of asymptomatic bacteriuria and its treatment performed strictly in accordance with the guidelines.

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