medigraphic.com
Órgano Oficial de el Colegio Mexicano de Urología

2005, Number 1

<< Back Next >>

Bol Col Mex Urol 2005; 20 (1)

Post-defecatory anoperineal toilet vs antimicrobial prophylaxis for prevention of recurrence in women with urinary tract infection. Test pilot

Maldonado-Alcaraz E, Otero-García JM, Serrano-Brambila EA

Language: Spanish
References: 12
Page: 6-9
PDF size: 70.52 Kb.


ABSTRACT

Acute cystitis is the most common urinary tract infection. Twenty five percent of these, are recurrent infections. We analyze 29 patients: 14 in group A (Prophylactic antibiotics) and 15 in group B (Post defecatory anoperineal toilet), randomly distributed. All patients in group A received continuous prophylactic doses of antibiotics and group B patients only achieved post-defecatory anoperineal toilet. Results: Eleven of fourteen patients (78.6%) in group A received ciprofloxacin. Urinary tract infection frequency at 6 months was slightly higher in group B (2.07 versus 1.86); however, this difference was not statistically significant (p = 0.686). There was not differences between groups in subgroups analyses: Menopause, sexual activity and age. Only four patients in each group was infection-free at all time post-treatment. Conclusions: Nevertheless both groups had similar response to treatment, women in general continue with several episodes of urinary tract infection. Seemingly, the only advantages provided by anoperineal toilet are low cost and not altering uropathogens sensibility to antibiotics. Probably it is needed to accrue more patients to strong our results.


REFERENCES

  1. Faro S. New considerations in treatment of urinary tract infections in adults. Urology 1992; 39: 1.

  2. Schaeffer AJ. Infections of the urinary tract. In: Walsh PJ et al (eds.): Campbell’s Urology. Philadelphia, Saunders, 1998; 1: 533-614.

  3. Foxman B, Barlow R, D’Arcy H, Gillespie B, Sobel JD. Urinary tract infection: self reported incidence and associated cost. Ann Epidemiol 2000; 10: 509-515.

  4. Batle M, Martin T, Fulton J. Lactulose may help prevent urinary tract infections. BMJ 2001; 323: 936.

  5. Dawson C, Whitfield H. ABC of Urology: Urinary incontinence and urinary infection. BMJ 1996; 312: 961-964.

  6. Ikäheimo R, Siitonen A, Heiskanen T, Kakkäinen U, Kuosmanen P, Lipponen P et al. Recurrence of urinary tract infection in primary care setting: Analysis of 1-year follow up of 179 women. Clin Infect Dis 1996; 22: 91-99.

  7. Navas EL, Venegas MF, Duncan JL, Anderson BE, Kanerva C, Chiniel JS, Schaeffer AJ. Blood group antigen expression on vaginal cells and mucus in women with and without a history of urinary tract infections. J Urol 1994; 152: 345-9.

  8. Gibson GR. Dietary modulation of the human gut microflora using prebiotics. Br J Nutr 1998; 80: 209-212.

  9. Engel JD, Schaeffer AJ. Evaluation of and antimicrobial therapy for recurrent urinary tract infections in women. Urol Clin North Am 1998; 25: 681.

  10. Gupta K, Scholes D, Stamm WE. Increasing prevalence of antimicrobial resistance among uropathogens causing acute cystitis in women. JAMA 1999; 281: 736-738.

  11. Kontiakari T et al. Randomized trial of cranberry-lingonberry juice and lactobacillus GG drink for the prevention of urinary tract infections in women. BMJ 2001; 322: 1571.

  12. Reid G. Probiotic therapy and functional foods for prevention of urinary tract infections: state of the art and science. Curr Infect Dis Rep 2000; 2: 518-522.




2020     |     www.medigraphic.com