Prevention of recurrent urinary tract infections in premenopausal women by post-coital administration of cinoxacin.
A total of 21 sexually active premenopausal women, prone to recurrent urinary tract infections but who otherwise were healthy, underwent post-coital prophylaxis consisting of bladder voiding and a single 250 mg. tablet of cinoxacin. While 94 urinary tract infections occurred during a mean of 7.5 months before treatment, only 8 occurred during a mean of 12.5 months after prophylaxis. This difference was statistically highly significant. A mean of 106 cinoxacin tablets per patient were administered during post-coital prophylaxis. Cinoxacin represents an additional valuable and effective antibacterial in post-coital prophylaxis of recurrent urinary tract infection in otherwise healthy premenopausal women, although it is slightly less effective than cotrimoxazole or nitrofurantoin. Effective post-coital prophylaxis requires the use of much smaller quantities of antibacterial agents than the daily use of a single tablet and in women with a high incidence of recurrent urinary tract infections it is superior to intermittent self-administered antibacterial therapy.
Pfau
A
A
Department of Urology (Urinary Tract Infection Unit), Hebrew University Hadassah Medical Center, Jerusalem, Israel.
Sacks
T G
TG
Shapiro
M
M
D000328:Adult; D002937:Cinoxacin / Q000008:administration & dosage / Q000627:therapeutic use*; D003075:Coitus; D004334:Drug Administration Schedule; D004927:Escherichia coli Infections / Q000517:prevention & control*; D005260:Female; D006801:Humans; D011724:Pyridazines / Q000627:therapeutic use*; D012008:Recurrence; D014552:Urinary Tract Infections / Q000517:prevention & control*
D011724:Pyridazines; D002937:Cinoxacin