Cystitis - Acute Bacterial
Alternate Names : Acute Bladder Infection, Acute Urinary Tract Infection (UTI), Uncomplicated Urinary Tract Infection
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Treatment
Because of the risk of the infection spreading to the kidneys (complicated UTI) and due to the high complication rate in the elderly population and in diabetics, prompt treatment is almost recommended.
MEDICATIONS:
Antibiotics are used to control the bacterial infection. It is imperative that you finish the entire course of prescribed antibiotics. Commonly used antibiotics include:
- Nitrofurantoin
- Sulfa drugs (sulfonamides) such as trimethoprim-sulfamethoxazole (Bactrim)
- Amoxicillin
- Cephalosporins
- Ciprofloxacin or levofloxacin
- Doxycycline
Chronic or recurrent UTI should be treated thoroughly because of the chance of kidney infection (pyelonephritis). Antibiotics control the bacterial infection. They may need to be given for long periods of time. Prophylactic low-dose antibiotics are sometimes recommended after acute symptoms have subsided.
Another medication called pyridium may be used to reduce the burning and urgency associated with cystitis. In addition, common substances that increase acid in the urine, such as ascorbic acid or cranberry juice, may be recommended to decrease the concentration of bacteria in the urine.
MONITORING:
Follow-up may include urine cultures to ensure that bacteria are no longer present in the bladder.
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