Treating Uncomplicated Cystitis

Kiran Panesar, BPharmS (Hons), MRPharmS, RPh, CPh

Disclosures

US Pharmacist. 2013;38(8):34-37. 

In This Article

Epidemiology

In 2007, 8.6 million physician visits for UTIs were reported, of which 84% were by women.[2] Women are more susceptible than men as they have a shorter urethra. About one-fifth of all cases of UTIs end up in the emergency department.[3]

It has been shown that nearly one-third of all women have had an episode of UTI by the age of 24 years, and half of all women have had at least one uncomplicated UTI in their lifetime by the age of 32 years.[2,4,5] Cystitis recurs in 25% of healthy women within 6 months of the first infection and in 20% of women within 1 year.[6] The recurrence rate is directly proportional to the number of UTIs the patient has previously had.[2]

All these figures translate into high economic costs (exceeding over $1 billion annually), decreased workforce productivity, and morbidity.[5,7] In older women, symptomatic and asymptomatic bacteriuria presents a risk factor for bacteremia and sepsis, as well as increased mortality.[8]

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