Module 9 Part 2 Recurrent Cystitis – Female

Question 1

What are the first-line antibiotics for early relapse of recurrent cystitis (less than 1 month)?

Answer 1

TMP/SMX, Trimethoprim, Nitrofurantoin (or Macrobid), Norfloxacin, Ciprofloxacin, Levofloxacin, and Fosfomycin.

Question 2

When should prophylactic antibiotics be considered for frequent recurrence of cystitis?

Answer 2

Prophylactic antibiotics are considered for two or more episodes in 6 months or three or more episodes in a year.

Question 3

What are the first-line prophylactic antibiotics for frequent recurrent cystitis?

Answer 3

TMP/SMX, Trimethoprim, and Nitrofurantoin (or Macrobid).

Question 4

How can prophylaxis be administered for frequent recurrence related to intercourse?

Answer 4

Prophylaxis can include post-coital antibiotic use.

Question 5

What is the role of methenamine mandelate in the management of recurrent cystitis?

Answer 5

Methenamine mandelate can be considered for prophylaxis or suppressive treatment of frequently occurring infections.

Question 6

What alternative strategies can be used for recurrent cystitis?

Answer 6

Short-course self-treatment upon the appearance of symptoms.

Question 7

Is cranberry juice recommended for the prevention of UTIs?

Answer 7

Cranberry juice is not currently recommended, but proanthocyanidins may be effective in preventing UTIs.