Management of Acute Bacterial Cystitis, Approach in non pregnant females

Dr.Ahmed

Last update :

Diagnosis

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

Acute_Bacterial_Cystitis

WBCs > 5 hpf
Bacteria
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
Sones
Treatment

In non complicated cases

Initial empirical therapy

Nitrofurantoin
100 mg twice daily for 5 days
Trimethoprim-Sulfamethoxazole
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

Edit This Article

Tags Urology

You may like these posts

Comments

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

Font Size

+

16

-

lines height

+

2

-

window['__wavt'] = 'AOuZoY5QEIi00TBZ8jS7AR2tLbWImd1iXg:1675350373701';_WidgetManager._Init('//www.blogger.com/rearrange?blogID\x3d1129835733813637495','//www.med2date.com/2017/12/management-of-acute-bacterial-cystitis.html','1129835733813637495'); _WidgetManager._SetDataContext([{'name': 'blog', 'data': {'blogId': '1129835733813637495', 'title': 'Med2Date', 'url': 'https://www.med2date.com/2017/12/management-of-acute-bacterial-cystitis.html', 'canonicalUrl': 'https://www.med2date.com/2017/12/management-of-acute-bacterial-cystitis.html', 'homepageUrl': 'https://www.med2date.com/', 'searchUrl': 'https://www.med2date.com/search', 'canonicalHomepageUrl': 'https://www.med2date.com/', 'blogspotFaviconUrl': 'https://www.med2date.com/favicon.ico', 'bloggerUrl': 'https://www.blogger.com', 'hasCustomDomain': true, 'httpsEnabled': true, 'enabledCommentProfileImages': true, 'gPlusViewType': 'FILTERED_POSTMOD', 'adultContent': false, 'analyticsAccountNumber': 'UA-40882662-1', 'encoding': 'UTF-8', 'locale': 'en', 'localeUnderscoreDelimited': 'en', 'languageDirection': 'ltr', 'isPrivate': false, 'isMobile': false, 'isMobileRequest': false, 'mobileClass': '', 'isPrivateBlog': false, 'isDynamicViewsAvailable': true, 'feedLinks': '\x3clink rel\x3d\x22alternate\x22 type\x3d\x22application/atom+xml\x22 title\x3d\x22Med2Date - Atom\x22 href\x3d\x22https://www.med2date.com/feeds/posts/default\x22 /\x3e\n\x3clink rel\x3d\x22alternate\x22 type\x3d\x22application/rss+xml\x22 title\x3d\x22Med2Date - RSS\x22 href\x3d\x22https://www.med2date.com/feeds/posts/default?alt\x3drss\x22 /\x3e\n\x3clink rel\x3d\x22service.post\x22 type\x3d\x22application/atom+xml\x22 title\x3d\x22Med2Date - Atom\x22 href\x3d\x22https://www.blogger.com/feeds/1129835733813637495/posts/default\x22 /\x3e\n\n\x3clink rel\x3d\x22alternate\x22 type\x3d\x22application/atom+xml\x22 title\x3d\x22Med2Date - Atom\x22 href\x3d\x22https://www.med2date.com/feeds/6546743302401832364/comments/default\x22 /\x3e\n', 'meTag': '', 'adsenseClientId': 'ca-pub-9600139713007725', 'adsenseHostId': 'ca-host-pub-1556223355139109', 'adsenseHasAds': false, 'adsenseAutoAds': false, 'boqCommentIframeForm': true, 'loginRedirectParam': '', 'view': '', 'dynamicViewsCommentsSrc': '//www.blogblog.com/dynamicviews/4224c15c4e7c9321/js/comments.js', 'dynamicViewsScriptSrc': '//www.blogblog.com/dynamicviews/107f8b485a798a3f', 'plusOneApiSrc': 'https://apis.google.com/js/platform.js', 'disableGComments': true, 'sharing': {'platforms': [{'name': 'Get link', 'key': 'link', 'shareMessage': 'Get link', 'target': ''}, {'name': 'Facebook', 'key': 'facebook', 'shareMessage': 'Share to Facebook', 'target': 'facebook'}, {'name': 'BlogThis!', 'key': 'blogThis', 'shareMessage': 'BlogThis!', 'target': 'blog'}, {'name': 'Twitter', 'key': 'twitter', 'shareMessage': 'Share to Twitter', 'target': 'twitter'}, {'name': 'Pinterest', 'key': 'pinterest', 'shareMessage': 'Share to Pinterest', 'target': 'pinterest'}, {'name': 'Email', 'key': 'email', 'shareMessage': 'Email', 'target': 'email'}], 'disableGooglePlus': true, 'googlePlusShareButtonWidth': 0, 'googlePlusBootstrap': '\x3cscript type\x3d\x22text/javascript\x22\x3ewindow.___gcfg \x3d {\x27lang\x27: \x27en\x27};\x3c/script\x3e'}, 'hasCustomJumpLinkMessage': false, 'jumpLinkMessage': 'Read more', 'pageType': 'item', 'postId': '6546743302401832364', 'postImageThumbnailUrl': 'https://3.bp.blogspot.com/-VVnztOn7hrc/Wozqv6Nah_I/AAAAAAAAM1U/XPqtv7svL5UQhUcfjStBff_vDpm5ms45wCLcBGAs/s72-c/Acute_Bacterial_Cystitis.jpg', 'postImageUrl': 'https://3.bp.blogspot.com/-VVnztOn7hrc/Wozqv6Nah_I/AAAAAAAAM1U/XPqtv7svL5UQhUcfjStBff_vDpm5ms45wCLcBGAs/s640/Acute_Bacterial_Cystitis.jpg', 'pageName': 'Management of Acute Bacterial Cystitis, Approach in non pregnant females', 'pageTitle': 'Med2Date: Management of Acute Bacterial Cystitis, Approach in non pregnant females', 'metaDescription': 'cystitis,uti,bladder,urgency,frequency,infection,acute bladder syndrome'}}, {'name': 'features', 'data': {'sharing_get_link_dialog': 'true', 'sharing_native': 'false'}}, {'name': 'messages', 'data': {'edit': 'Edit', 'linkCopiedToClipboard': 'Link copied to clipboard!', 'ok': 'Ok', 'postLink': 'Post Link'}}, {'name': 'template', 'data': {'name': 'custom', 'localizedName': 'Custom', 'isResponsive': true, 'isAlternateRendering': false, 'isCustom': true}}, {'name': 'view', 'data': {'classic': {'name': 'classic', 'url': '?view\x3dclassic'}, 'flipcard': {'name': 'flipcard', 'url': '?view\x3dflipcard'}, 'magazine': {'name': 'magazine', 'url': '?view\x3dmagazine'}, 'mosaic': {'name': 'mosaic', 'url': '?view\x3dmosaic'}, 'sidebar': {'name': 'sidebar', 'url': '?view\x3dsidebar'}, 'snapshot': {'name': 'snapshot', 'url': '?view\x3dsnapshot'}, 'timeslide': {'name': 'timeslide', 'url': '?view\x3dtimeslide'}, 'isMobile': false, 'title': 'Management of Acute Bacterial Cystitis, Approach in non pregnant females', 'description': 'cystitis,uti,bladder,urgency,frequency,infection,acute bladder syndrome', 'featuredImage': 'https://3.bp.blogspot.com/-VVnztOn7hrc/Wozqv6Nah_I/AAAAAAAAM1U/XPqtv7svL5UQhUcfjStBff_vDpm5ms45wCLcBGAs/s640/Acute_Bacterial_Cystitis.jpg', 'url': 'https://www.med2date.com/2017/12/management-of-acute-bacterial-cystitis.html', 'type': 'item', 'isSingleItem': true, 'isMultipleItems': false, 'isError': false, 'isPage': false, 'isPost': true, 'isHomepage': false, 'isArchive': false, 'isLabelSearch': false, 'postId': 6546743302401832364}}, {'name': 'widgets', 'data': [{'title': 'BlogArchive', 'type': 'BlogArchive', 'sectionId': 'sitting', 'id': 'BlogArchive400'}, {'title': 'BlogAuthors', 'type': 'Profile', 'sectionId': 'sitting', 'id': 'Profile400'}, {'title': 'BlogLabels', 'type': 'Label', 'sectionId': 'sitting', 'id': 'Label400'}, {'title': 'Med2Date (Header)', 'type': 'Header', 'sectionId': 'logo', 'id': 'Header1'}, {'title': 'Pages', 'type': 'PageList', 'sectionId': 'pages', 'id': 'PageList1'}, {'title': 'Main Menu', 'type': 'LinkList', 'sectionId': 'menu', 'id': 'LinkList001'}, {'title': 'ad under header [only pc]', 'type': 'HTML', 'sectionId': 'Topa3lan-sc', 'id': 'HTML100'}, {'title': 'ad under header [only mopile]', 'type': 'HTML', 'sectionId': 'Topa3lan-sc2', 'id': 'HTML101'}, {'title': 'search ...', 'type': 'BlogSearch', 'sectionId': 'searchform', 'id': 'BlogSearch2'}, {'title': 'Also Like', 'type': 'Label', 'sectionId': 'searchform', 'id': 'Label002'}, {'title': 'contact form', 'type': 'ContactForm', 'sectionId': 'AddOns', 'id': 'ContactForm200'}, {'title': '', 'type': 'HTML', 'sectionId': 'TopPost-sc', 'id': 'HTML4'}, {'title': 'Blog Posts', 'type': 'Blog', 'sectionId': 'Tempnec', 'id': 'Blog1', 'posts': [{'id': '6546743302401832364', 'title': 'Management of Acute Bacterial Cystitis, Approach in non pregnant females', 'featuredImage': 'https://3.bp.blogspot.com/-VVnztOn7hrc/Wozqv6Nah_I/AAAAAAAAM1U/XPqtv7svL5UQhUcfjStBff_vDpm5ms45wCLcBGAs/s640/Acute_Bacterial_Cystitis.jpg', 'showInlineAds': false}], 'headerByline': {'regionName': 'header1', 'items': [{'name': 'author', 'label': 'Written by:'}, {'name': 'timestamp', 'label': '-'}]}, 'footerBylines': [{'regionName': 'footer1', 'items': [{'name': 'share', 'label': ''}, {'name': 'comments', 'label': 'comments'}, {'name': 'labels', 'label': ''}]}], 'allBylineItems': [{'name': 'author', 'label': 'Written by:'}, {'name': 'timestamp', 'label': '-'}, {'name': 'share', 'label': ''}, {'name': 'comments', 'label': 'comments'}, {'name': 'labels', 'label': ''}]}, {'title': 'Main Post Ad\x27s', 'type': 'LinkList', 'sectionId': 'PostA3lan', 'id': 'LinkList005'}, {'title': '', 'type': 'HTML', 'sectionId': 'sidepar', 'id': 'HTML3'}, {'title': 'Popular Articles', 'type': 'PopularPosts', 'sectionId': 'sidepar', 'id': 'PopularPosts1', 'posts': [{'title': 'Pharyngitis (Sore throat) causes, treatment and FAQs', 'id': 5240636098414392845}, {'title': 'Furunculosis of the nasal vestibule: causes, diagnosis, complications, treatment', 'id': 6266931582911961211}, {'title': 'Atrophic rhinitis (Ozaena): causes, symptoms and treatment', 'id': 6093706444333092511}, {'title': 'Tonsillitis causes, symptoms, treatment, FAQs', 'id': 1382085194780849022}, {'title': 'Pleural effusion def., causes, symptoms, signs and treatment', 'id': 5808935341774352260}, {'title': 'Cancer of the external ear| types, symptoms, staging and treatment', 'id': 7470528105808405773}, {'title': 'Nasopharyngeal Cancer| symptoms, stages, treatment, survival, FAQs', 'id': 7042418661905988998}]}]}]); _WidgetManager._RegisterWidget('_BlogArchiveView', new _WidgetInfo('BlogArchive400', 'sitting', document.getElementById('BlogArchive400'), {'languageDirection': 'ltr', 'loadingMessage': 'Loading\x26hellip;'}, 'displayModeFull')); _WidgetManager._RegisterWidget('_ProfileView', new _WidgetInfo('Profile400', 'sitting', document.getElementById('Profile400'), {}, 'displayModeFull')); _WidgetManager._RegisterWidget('_LabelView', new _WidgetInfo('Label400', 'sitting', document.getElementById('Label400'), {}, 'displayModeFull')); _WidgetManager._RegisterWidget('_HeaderView', new _WidgetInfo('Header1', 'logo', document.getElementById('Header1'), {}, 'displayModeFull')); _WidgetManager._RegisterWidget('_PageListView', new _WidgetInfo('PageList1', 'pages', document.getElementById('PageList1'), {'title': 'Pages', 'links': [{'isCurrentPage': false, 'href': 'https://www.med2date.com/p/contact-us_2.html', 'id': '7354262876639475419', 'title': 'Contact us'}, {'isCurrentPage': false, 'href': 'https://www.med2date.com/p/privacy-policy.html', 'id': '1776017530547541493', 'title': 'Privacy Policy'}], 'mobile': false}, 'displayModeFull')); _WidgetManager._RegisterWidget('_LinkListView', new _WidgetInfo('LinkList001', 'menu', document.getElementById('LinkList001'), {}, 'displayModeFull')); _WidgetManager._RegisterWidget('_HTMLView', new _WidgetInfo('HTML100', 'Topa3lan-sc', document.getElementById('HTML100'), {}, 'displayModeFull')); _WidgetManager._RegisterWidget('_HTMLView', new _WidgetInfo('HTML101', 'Topa3lan-sc2', document.getElementById('HTML101'), {}, 'displayModeFull')); _WidgetManager._RegisterWidget('_BlogSearchView', new _WidgetInfo('BlogSearch2', 'searchform', document.getElementById('BlogSearch2'), {}, 'displayModeFull')); _WidgetManager._RegisterWidget('_LabelView', new _WidgetInfo('Label002', 'searchform', document.getElementById('Label002'), {}, 'displayModeFull')); _WidgetManager._RegisterWidget('_ContactFormView', new _WidgetInfo('ContactForm200', 'AddOns', document.getElementById('ContactForm200'), {'contactFormMessageSendingMsg': 'Sending...', 'contactFormMessageSentMsg': 'Your message has been sent.', 'contactFormMessageNotSentMsg': 'Message could not be sent. Please try again later.', 'contactFormInvalidEmailMsg': 'A valid email address is required.', 'contactFormEmptyMessageMsg': 'Message field cannot be empty.', 'title': 'contact form', 'blogId': '1129835733813637495', 'contactFormNameMsg': 'Name', 'contactFormEmailMsg': 'Email', 'contactFormMessageMsg': 'Message', 'contactFormSendMsg': 'Send', 'contactFormToken': 'AOuZoY43uQUH4h9sAe-c8lFNotflWDS_XA:1675350373701', 'submitUrl': 'https://www.blogger.com/contact-form.do'}, 'displayModeFull')); _WidgetManager._RegisterWidget('_HTMLView', new _WidgetInfo('HTML4', 'TopPost-sc', document.getElementById('HTML4'), {}, 'displayModeFull')); _WidgetManager._RegisterWidget('_BlogView', new _WidgetInfo('Blog1', 'Tempnec', document.getElementById('Blog1'), {'cmtInteractionsEnabled': false, 'lightboxEnabled': true, 'lightboxModuleUrl': 'https://www.blogger.com/static/v1/jsbin/3933162793-lbx.js', 'lightboxCssUrl': 'https://www.blogger.com/static/v1/v-css/2678123480-lightbox_bundle.css'}, 'displayModeFull')); _WidgetManager._RegisterWidget('_LinkListView', new _WidgetInfo('LinkList005', 'PostA3lan', document.getElementById('LinkList005'), {}, 'displayModeFull')); _WidgetManager._RegisterWidget('_HTMLView', new _WidgetInfo('HTML3', 'sidepar', document.getElementById('HTML3'), {}, 'displayModeFull')); _WidgetManager._RegisterWidget('_PopularPostsView', new _WidgetInfo('PopularPosts1', 'sidepar', document.getElementById('PopularPosts1'), {}, 'displayModeFull'));