[Cystitis].
Bacterial cystitis is a common condition characterised by a high incidence, an easy diagnosis and a simple treatment. Three subsets should be distinguished: simple cystitis, occurring in young women, requires no bacteriologic work-up and is best treated by a single dose or a three-day regimen consisting of a common antibiotic, complicated cystitis, occurring in patients with diabetes, an urologic history or immunosuppression; it requires a seven-day treatment course, the choice of which is guided by antibiotic sensitivity tests; recurrent cystitis is defined by, at least, four yearly flares; such recurrences warrant thorough vulvo-vaginal examination seeking a local lesion; if none is found, protracted treatment using an inhibitory rather than a bactericidal antibiotic dosage is an efficient prophylactic regimen.
Fourcade
Richard O
RO
Service d'urologie, Centre hospitalier d'Auxerre, 89011 Auxerre. rfourcade@fc.horus-medical.fr
Mansi
Alessandro
A
D003556:Cystitis / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology / Q000382:microbiology; D005260:Female; D006801:Humans; D012008:Recurrence