Diagnosis and treatment of women with recurrent urinary tract infection
نویسندگان
چکیده
Background: Uncomplicated urinary tract infection (cystitis) is the most common bacterial among women visiting primary care clinics, and approximately 50% experience recurrence. Recurrent cystitis represents a substantial burden on patients’ quality of life, healthcare costs, antibiotics overuse.Current Concepts: Symptoms remain cornerstone diagnosis, urine culture necessary if recurrent suspected. Antibiotics (typically nitrofurantoin fosfomycin) are first-line treatment. Based resistance data, cephalosporins amoxicillin-clavulanate second-line treatment recommendations. Fluoroquinolones not options because safety concerns rising rates. In considering patients with cystitis, it important to assess patient’s risk factors. Postmenopausal may present differently require different diagnostic approaches from that younger women. Non-antimicrobial prevent preferred due tolerability, safety, antimicrobial concerns, patient choice. Oral immunostimulant effective for any age, vaginal estrogen therapy additionally recommended in postmenopausal Self-start post-coital antibiotic non-antimicrobial prophylaxis be combined. Low-dose continuous considered whom other regimens fail.Discussion Conclusion: To improve life medical women, closing gap between physicians’ perceptions needs necessary. Furthermore, various preventive therapies should fully utilized.
منابع مشابه
Asymptomatic Urinary Tract Infection in Pregnant Women
Background and Objectives: Urinary tract infection is one of the most common bacterial infections in the human population, and more frequent infection during pregnancy. With notice to this point that most of urinary tract infections during pregnancy are asymptomatic, they could lead to serious complications such as prematurity, low-birth weight, hypertension, and higher fetal mortality rates...
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Healthcare interventions can be episodic, and a target-based culture can lead to clinicians focusing on treating and discharging a person in a certain time frame to meet targets. When health care is delivered in pressurized acute environments, a holistic approach to a person's health may be lost. Urinary tract infection is the most common healthcare-acquired infection in the UK, and treatment i...
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Recurrent urinary tract infections, presenting as dysuria or irritative voiding symptoms, are most commonly caused by reinfection with the original bacterial isolate in young, otherwise healthy women with no anatomic or functional abnormalities of the urinary tract. Frequency of sexual intercourse is the strongest predictor of recurrent urinary tract infections in patients presenting with recur...
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ژورنال
عنوان ژورنال: Journal of The Korean Medical Association
سال: 2022
ISSN: ['1975-8456', '2093-5951']
DOI: https://doi.org/10.5124/jkma.2022.65.9.594