In cases of recurrent cystitis, the long-term goal is to minimize antimicrobial use and improve the patient's quality of life. The following points should be noted when selecting the appropriate antimicrobial therapy for patients with recurrent cystitis.
If a patient presents with a recurring case of cystitis within a week or two of treatment for uncomplicated cystitis, she should be advised to get a culture at a laboratory to rule out the possibility of a resistant strain.
If the condition recurs at least 1 month after the first episode, a longer course of first-line therapy can be prescribed. The first-line drug used should be different from the one used for the first episode, particularly if the infection has recurred within 6 months or the drug was TMP-SMX.
US Pharmacist. 2013;38(8):34-37. © 2013 Jobson Publishing