Cystitis

Question 1

What are some patient factors that warrant referral to MD?

Answer 1

Under 16
In long-term care
pregnant
Male
Breastfeeding
First episode of cystitis
Recurrent cystitis (2 episodes/6 months or 3 episodes in 12 months
Abnormal urinary tract structure
Renal impairment
Spinal cord injury
History of interstitial cystitis

Question 2

What are some red flags for cystitis?

Answer 2

Fevers, chills, nausea, vomiting, flank
Vaginal discharge or pruritus
Dyspareunia (painful intercourse)
Significant hematuria

Question 3

What are the classic symptoms associated with acute uncomplicated cystitis?

Answer 3

Dysuria, urinary urgency, &/or frequency
Suprapubic pain or mild hematuria
Absence of vaginal symptoms

Question 4

What are some treatment options for acute uncomplicated cystitis?

Answer 4

Nitrofurantoin 100mg BID x 5 days

Second line
TMP/SMX 800mg/160mg BID x 3 days