Urolog. pro Praxi, 2010; 11(5): 234-240

Urinary tract infections in women - possibilities of differentiated approach in treatment and prevention

MUDr.Jiří Kladenský

Urologická ambulance, Dům zdraví, Brno

Urinary tract infections (UTIs) are among the most urgent health problems for which women in working age see their physician (whether the

general practitioner, urologist or gynecologist). The most common manifestation of UTIs in women is acute uncomplicated cystitis the

diagnosis and treatment of which is usually straightforward. When selecting an appropriate antimicrobial agent, it is advisable to consider

its pharmacokinetics, expected spectrum of efficacy and effect on the vaginal flora. Short-term therapy of three to five days is

preferred. In women with recurrent cystitides, it is necessary, in addition to performing comprehensive urological examination to rule

out functional or anatomic abnormalities, to perform urine culture and targeted treatment according to sensitivity. The review article

presents differentiated options of treatment and prevention of recurrent infections with both antimicrobial agents and regimen measures

as well as preparations not included in the group of antimicrobial agents; however, when correctly indicated, their administration

may bring long-term relief to these women. The article also deals with complicated infections in women and asymptomatic bacteriuria

in elderly women.

Keywords: acute uncomplicated cystitis, recurrent cystitis, complicated urinary tract infection, asymptomatic bacteriuria

Published: October 22, 2010  Show citation