Urol. praxi. 2018;19(1):10-15 [Med. praxi. 2018;15(1):9-14]

Uncomplicated lower urinary tract infections in women – options of treatment and prevention

MUDr. Jiří Kladenský

UROINTEGRITAS, s. r. o., Brno

Urinary tract infections (UTIs) are among very frequent medical conditions for which women visit their general practitioner. Acuteuncomplicated cystitis the diagnosis of which is usually straightforward is the most common manifestation of UTIs in women. Whenchoosing an appropriate antimicrobial agent, it is advisable to take into consideration its pharmacokinetics, the assumed spectrumof efficacy, and the effect on the vaginal flora. Short-term treatment with a duration of three to five days is preferred. In women withrecurrent cystitides, following the commencement of appropriate therapy and retreatment of infection, it is necessary to perform acomprehensive urological evaluation in order to rule out functional or anatomical abnormalities. This almost invariably involves urineculture and targeted retreatment according to susceptibility. The review article presents differentiated options of treatment and preventionof lower urinary tract infections in women with both antimicrobial agents and lifestyle measures plus preparations not included inthe group of antimicrobial agents; however, when indicated correctly, their administration can bring long-term relief to these women.

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

Published: March 15, 2018  Show citation