Main menu


Management of Acute Bacterial Cystitis, Approach in non pregnant females


can be made when symptoms and signs are present, in addition to pyuria
symptoms include : Urgency, Frequency, Burning micturation
urine analysis

                              WBCs > 5 hpf
                              Nitrite Positive

      3. urine culture
E coli is the most common causative organism
differentiation between complicated and non complicated infection

complicated infection : when

Immunosuppresed : DM, HIV
Indwelling catheter
Urinary obstruction
Congenital anomalies : vesicoureteric reflux, pelviureteric junction obstruction

In non complicated cases

Initial empirical therapy

                             100 mg twice daily for 5 days
                             160/800 mg twice daily for 3 days
Fosfomycin         3 g single dose ( less effective)
Basic concepts of treatment

Floroquinolones are not the first line of treatment
Amoxicillin & Ampicillin should not be used as empirical treatment
alternative empirical therapy includes

           Floroquinolones for 5 days
           Beta lactams for 7 days
Adjust antibiotics based on urine culture 


1 comment
Post a Comment
  1. This is another testimony on how Chief Dr Lucky cured my HIV disease. Do you need a cure for your HIV disease? Do you want to be cured from your cancer disease? Or you want to be free from any type of disease. Kindly visit his website . He just cured my HIV disease and I’m very grateful to him, he is the only herbalist that can cure you.  
    WhatsApp number : +2348132777335 
    Via Email :
    Thank you all for reading,
    God bless"


Post a Comment

Please note that we will be notified by e-mail about your comment , So be careful .
Any medical questions will be answered .

Table of Contents