Author/Editor		Car, Josip; Marinko, Tanja
Title		Zdravljenje nezapletene okužbe sečnega mehurja pri ženskah v družinski medicini
Translated title		Management of uncomplicated cystitis in women in family practice
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 72, št. 2
Publication year		2003
Volume		str. 79-83
Language		slo
Abstract		Background. Acute uncomplicated cystitis in women is one of the most common infections in women. Recent studies have made treatment of acute uncomplicated cystitis in women shorter and less complicated. We summarize the literature on treatment of women with acute uncomplicated cystitis in family practice and outline the approach to investigations and follow-up visits. Conclusions. Women with characteristic clinical picture of acute uncomplicated cystitis shall be treated in family practice empirically with trimethoprim-sulfamethoxazole (160 mg/800 mg/12 h) for three days. There is no need for follow-up visit after successful treatment Patients with known allergy or resistance to trimethoprim-sulfamethoxazole are treated with second choice drugs - fluoroquinolons (norfloxacin 400 mg twice a day, ciprofloxacin 250 mg twice a day). In the case of uncharacteristic clinical picture for acute cystitis or uncharacteristic laboratory results and in the case of unsuccessful three-day empirical treatment urine culture has to be performed and gynaecological examination as well. The patient should be educated about non-specific treatment and about preventive measures.
Summary		Izhodišča. Akutna nezapletena okužba sečnega mehurja je ena najpogostejših okužb pri ženskah. V skladu s spoznanji raziskav iz zadnjih let se je zdravljenje akutne nezapletene okužbe sečnega mehurja skrajšalo in poenostavilo. Prispevek povzema literaturo o zdravljenju bolnic z akutno nezapleteno okužbo sečnega mehurja v družinski medicini in opisuje pristop k preiskavam in kontroli. Zaključki. Bolnice z značilno klinično sliko akutne nezapletene okužbe sečnega mehurja v družinski medicini zdravimo empirično s trimetoprim-sulfametoksazolom (160 mg/800 mg/ 12 ur) tri dni. Po uspešnem zdravljenju kontrola ni potrebna. Za zdravljenje z zdravili druge izbire - fluorokinoloni (norfloksacin 400 mg/12 ur, ciprofloksacin 250 mg/12 ur) se odločimo pri alergiji ali dokazani rezistenci na trimetoprim-sulfametoksazol. Kadar klinična slika ali laboratorijski izvidi niso značilni, a tudi v primeru neuspešnega tridnevnega empiričnega zdravljenja, je potrebno narediti urinokulturo, včasih tudi ginekološki pregled. Bolnico vedno poučimo tudi o nespecifičnem zdravljenju in preventivnih ukrepih.
Descriptors		CYSTITIS URETHRITIS FAMILY PRACTICE PYURIA BACTERIURIA HEMATURIA DIAGNOSIS, DIFFERENTIAL