Management of Recurrent Cystitis in Women: When Prompt Identification of Risk Factors Might Make a Difference

Incidence of and Risk Factors for Recurrent Urinary Tract Infections in Renal Transplant Recipients

“…Recurrent UTIs remain of interest as these constitute the most reported long-term complication after RTx, have major economic impact on the health care system in terms of outpatient visits and hospitalizations, and impact the patients’ quality of life [9] . In the general population, studies show that the identification of risk factors for rUTIs among women improves quality of life and reduces antibiotic use, which could also have relevance for RTx patients [19] .…”

Postcoital cystitis as a cause of sexual dysfunction in women.

“…Клиницисты не всегда оценивают влияние этого, якобы, незначительного состояния, на чувство благополучия пациентки, успешность лечения эпизодов которого не всегда приводит к улучшению качества жизни [11]. 47,75 37,69-47,75 27,62-57,81 57,81 47,75-57,81 27,62-67,88 <0,001* 36,37 33,85-46,47 16,18-56,57 46,47 36,37-56,57 26,27-56,57 0,001* 39,3 22,53-44,9 11,35-56,08 44,9 37,9-50,49 22,53-56,08 0,001* 40,16 27,97-46,25 15,77-58,45 49,3 40,16-52,35 27,97-64,54 <0,001* 51,89 45,53-56,25 22,88-64,4 55,31 51,4-57,68 38,73-64,42 0,001* Пациентки при частых обострениях ИМП описывают негативное психоэмоциональное бремя из-за очередного эпизода цистита, что дополнительно усиливается необходимостью повторного приема антибактериальных препаратов [12,19,20]. Рекомендованные неантибактериальные меры профилактики не всегда оказывают ожидаемое действие, что определенно сказывается на повседневной жизни больных и способствует незначительному приросту качества жизни у таких женщин вне эпизода обострения.…”

Recurrent UTI: Questions and Answers on Clinical Practice

“…Moreover, several reports showed that medical visits for rUTIs in everyday clinical practice range from 1% to 6% of all medical visits with high social and personal associated costs, such as prescriptions, hospital expenses and days of sick leave due to the disease [4,5]. In the last years, many steps forward have been accomplished for understanding the natural history and management of rUTI, even if we are so far from deep comprehension [6]. On the other hand, in the last few decades, the internet has become an easily accessible source of medical information for patients and in particular for rUTI [7,8].…”

“…Recently, an anonymous, self-administered web-based survey has been conducted in five countries on adult women who had experienced recurrent UTI (GESPRIT study), reporting that rUTI has a significant impact on patients' quality of life in Europe [14]. Moreover, Cai et al demonstrated that accurate risk factor identification and counseling may change the natural history of rUTI and reduce the number of symptomatic episodes, reduce antibiotic usage, and improve patients' quality of life, reducing patients' stress and anxiety levels [6]. Even if the patients' psychological burden of rUTI is high, up to the moment no studies have been performed on the psychological burden of rUTI on the patient's outcome and on adherence to the treatment.…”