Urogenit Tract Infect.  2017 Apr;12(1):3-6. 10.14777/uti.2017.12.1.3.

2017 Guidelines of The Korean Association of Urogenital Tract Infection and Inflammation: Acute Uncomplicated Cystitis

• Kim KH
• Lee SJ
• Cho YH
• Choe HS
• Na YG
• Kim JH
• Chung H
• Chung JM
• Jung JH
• Choi H
• Lee SJ

• KMID: 2378142
• DOI: http://doi.org/10.14777/uti.2017.12.1.3

Abstract

Acute uncomplicated cystitis is the most common urinary tract infection that mainly occurs in adult females, particularly sexually active young women and postmenopausal women. It is commonly observed in primary health care settings, including urology as well as obstetrics and gynecology; more than half of healthy adult women visit clinics and hospitals at least once in their lifetime due to acute uncomplicated cystitis. The most common bacterium causing this condition is Escherichia coli, followed by Staphylococcus saprophyticus, Klebsiella pneumoniae, Proteus mirabilis, and etc. Trimethoprim-sulfamethoxazole or fluoroquinolones have been used as an empirical antibiotic treatment. However, as fluoroquinolone-resistant organisms or extended spectrum beta-lactamase-producing organisms are becoming more prevalent worldwide, information on regional antibiotic resistance and guidelines on antibiotic use are becoming increasingly more desparate.

Keyword

Cystitis; Practice guideline

MeSH Terms

Adult
Cystitis*
Drug Resistance, Microbial
Escherichia coli
Female
Fluoroquinolones
Gynecology
Humans
Inflammation*
Klebsiella pneumoniae
Obstetrics
Primary Health Care
Proteus mirabilis
Staphylococcus saprophyticus
Trimethoprim, Sulfamethoxazole Drug Combination
Urinary Tract Infections
Urology
Fluoroquinolones
Trimethoprim, Sulfamethoxazole Drug Combination

Figure

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  Fig. 1. Algorithm for clinical management of acute uncomplicated cystitis (adapted from Asian Association of UTI & STI). UTI: urinary tract infection, ESBL: extended spectrum beta-lactamase, TMP-SMX: trimethoprim-sulfamethoxazole.

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