Cystitis primary prevention: Difference between revisions
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==Overview== | ==Overview== | ||
Preventative measures to avoid cystitis include the measures for preventing a urinary tract infection which include voiding after intercourse, use of barrier contraception, increasing fluid intake and frequency of urination, and use of [[estrogen]] (among post-menopausal women). Single-dose prophylactic antimicrobial therapy prior to sexual intercourse may be administered to patients who have recurrent episodes of cystitis that are associated with sexual activity. | Preventative measures to avoid cystitis include the measures for preventing a urinary tract infection which include voiding after intercourse, use of barrier contraception, increasing fluid intake and frequency of urination, and use of [[estrogen]] (among post-menopausal women). Single-dose prophylactic antimicrobial therapy prior to sexual intercourse may be administered to patients who have recurrent episodes of cystitis that are associated with sexual activity. Cleaning the uretheral meatus after intercourse has also shown to be effective in preventive recurrent cystitis.<ref>{{Cite journal | ||
| author = [[H. H. Meyhoff]], [[J. Nordling]], [[P. A. Gammelgaard]] & [[R. Vejlsgaard]] | |||
| title = Does antibacterial ointment applied to urethral meatus in women prevent recurrent cystitis? | |||
| journal = [[Scandinavian journal of urology and nephrology]] | |||
| volume = 15 | |||
| issue = 2 | |||
| pages = 81–83 | |||
| year = 1981 | |||
| month = | |||
| pmid = 7036332 | |||
}}</ref> | |||
==Primary Prevention== | ==Primary Prevention== | ||
Revision as of 14:28, 17 February 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Yamuna Kondapally, M.B.B.S[2], Usama Talib, BSc, MD [3]
Overview
Preventative measures to avoid cystitis include the measures for preventing a urinary tract infection which include voiding after intercourse, use of barrier contraception, increasing fluid intake and frequency of urination, and use of estrogen (among post-menopausal women). Single-dose prophylactic antimicrobial therapy prior to sexual intercourse may be administered to patients who have recurrent episodes of cystitis that are associated with sexual activity. Cleaning the uretheral meatus after intercourse has also shown to be effective in preventive recurrent cystitis.[1]
Primary Prevention
The following preventative measures may reduce the risk of urinary tract infections which are an important cause of Cystitis: [2]
- Abstinence from sexual activity
- Voiding after every intercourse
- Use barrier contraception and avoiding spermicides
- Increasing the intake of fluids and the frequency of urination
- Use of topical estrogen among post-menopausal women
- Anatomical evaluation of structural and functional defects may be needed for recurrence of urinary tract infections
The use of cranberry to prevent cystitis and thus pyelonephritis remains controversial. Cranberry is thought to prevent the adherence of uropathogens to urothelial cells, but its benefit is yet to be proven.[3]
References
- ↑ H. H. Meyhoff, J. Nordling, P. A. Gammelgaard & R. Vejlsgaard (1981). "Does antibacterial ointment applied to urethral meatus in women prevent recurrent cystitis?". Scandinavian journal of urology and nephrology. 15 (2): 81–83. PMID 7036332.
- ↑ Raz, R.; Stamm, WE. (1993). "A controlled trial of intravaginal estriol in postmenopausal women with recurrent urinary tract infections". N Engl J Med. 329 (11): 753–6. doi:10.1056/NEJM199309093291102. PMID 8350884. Unknown parameter
|month=ignored (help) - ↑ Hooton, TM. (2012). "Clinical practice. Uncomplicated urinary tract infection". N Engl J Med. 366 (11): 1028–37. doi:10.1056/NEJMcp1104429. PMID 22417256. Unknown parameter
|month=ignored (help)