[Prevention and alternative methods for prophylaxis of recurrent urinary tract infections in women].
General recommendations to prevent recurrent urinary tract infections (rUTI) result in about one-third of patients remaining free of recurrences. Oral and parenteral immunotherapy were effective in several controlled studies for prevention of rUTI. These therapies can be combined with acute antibiotic therapy. Vaginal prophylaxis with oestriol has proven its positive effect without serious gynaecological side effects. Also there is increasing evidence that cranberries prevent rUTI. The exact mode (juice, tablets or preserved berries), dosage and duration of this therapy remain to be defined. There are also promising therapy modalities such as changing bacterial gut flora, general immune response (acupuncture, inpatient rehabilitation) and urine acidity.
Vahlensieck
W
W
Abteilung Urologie-Onkologie-Nephrologie, Klink Wildetal, Mühlenstrasse 8, 34537 Bad Wildungen. Winfried.Vahlensieck@t-online.de
Bauer
H
H
D000892:Anti-Infective Agents, Urinary / Q000009:adverse effects / Q000627:therapeutic use; D001424:Bacterial Infections / Q000209:etiology / Q000517:prevention & control*; D000529:Complementary Therapies; D005260:Female; D015438:Health Behavior; D006801:Humans; D007167:Immunotherapy; D008826:Microbial Sensitivity Tests; D008517:Phytotherapy; D012307:Risk Factors; D055502:Secondary Prevention; D014552:Urinary Tract Infections / Q000209:etiology / Q000517:prevention & control*
D000892:Anti-Infective Agents, Urinary