Tratamento antibiótico da cistite não complicada em mulheres não grávidas até à menopausa.

Autores

  • Diana Lima Martins Unidade de Saúde Familiar de Nova Via, ACES Espinho/Gaia, Portugal.
  • Ana Margarida Carvalho
  • José Luís Fernandes

DOI:

https://doi.org/10.20344/amp.1413

Resumo

To review treatment recommendations for UC in non-pregnant women up to menopause, using the scale Strength of Recommendation Taxonomy (SORT).Medline, UpToDate, Cochrane, Bandolier, Database of Abstracts of Reviews of Effects, National Guideline Clearinghouse, Guidelines Finder and the website of the Portuguese Urology Association.Research of systematic reviews (SR), meta-analyses (MA), randomized controlled trials (RCT) and guidelines, published in english and portuguese, between 2000 and 2008.Two MA, two SR, four RCT and six Guidelines were included. Three-day treatments are preferable to those of seven to ten days, mainly because of higher compliance and lower cost and incidence of adverse effects (A). Longer regimens are acceptable for bacterial eradication. Trimethoprim/sulfamethoxazole (TMP/SMX) is the option where resistance levels are lower than 10-20% (A). As a clinical and microbiological alternative, evidence seems to point out the Fluoroquinolones (FQ) (C) which are equally efficient among themselves, although showing different safety profiles.In case of allergy or high resistance to TMP/SMX, FQ are the most efficacious alternative, both prescriptions recommended for three days. However, due to the risk of worsening resistance to FQ, the options consist on nitrofurantoin and fosfomicine.

Downloads

Não há dados estatísticos.

Downloads

Publicado

2012-06-20

Como Citar

1.
Martins DL, Carvalho AM, Fernandes JL. Tratamento antibiótico da cistite não complicada em mulheres não grávidas até à menopausa. Acta Med Port [Internet]. 20 de Junho de 2012 [citado 23 de Dezembro de 2024];24(6):1019-24. Disponível em: https://actamedicaportuguesa.com/revista/index.php/amp/article/view/1413

Edição

Secção

Arquivo Histórico