Episode 3: En titt på cystitt

Det finnes vel ikke enklere diagnoser enn urinveisinfeksjon? Tro om igjen! Ingrid og Jørgen snakker om UVI – fra hippokratisk pussdrenasje, videre til vår tids diagnostikk, profylakse og behandling. Og hvorfor skal man ikke behandle asymptomatisk bakteriuri? Få svar på ting du ikke visste at du lurte på i denne episoden om urinveisinfeksjoner. Vi minner forøvrig om retningslinjene på https://www.antibiotika.no/ både når det gjelder profylakse og behandling.  Referanser: Tefekli A, Cezayirli F. The history of urinary stones: in parallel with civilization. ScientificWorldJournal. 2013;2013:423964.Nickel JC. Management of urinary tract infections: historical perspective and current strategies: Part 1--Before antibiotics. J Urol. 2005 Jan;173(1):21-6Cai T, Tiscione D, Cocci A, Puglisi M, Cito G, Malossini G, et al. Hibiscus extract, vegetable proteases and Commiphora myrrha are useful to prevent symptomatic UTI episode in patients affected by recurrent uncomplicated urinary tract infections. Arch Ital Urol Androl. 2018;90(3):203-7.Harding C, Chadwick T, Homer T, Lecouturier J, Mossop H, Carnell S, et al. Methenamine hippurate compared with antibiotic prophylaxis to prevent recurrent urinary tract infections in women: the ALTAR non-inferiority RCT. Health Technol Assess. 2022;26(23):1-172.Lee BS, Bhuta T, Simpson JM, Craig JC. Methenamine hippurate for preventing urinary tract infections. Cochrane Database Syst Rev. 2012;10(10):CD003265.Relis Metenamin (Hiprex) som profylakse ved residiverende urinveisinfeksjoner. https://relis.no/artikler/32945/ (28.04.23)Recurrent Uncomplicated Urinary Tract Infections in Women: AUA/CUA/SUFU Guideline (2022) https://www.auanet.org/guidelines-and-quality/guidelines/recurrent-uti (28.04.23)Clinical Practice Guideline for the Management of Asymptomatic Bacteriuria: 2019 Update by the Infectious Diseases Society of America. Clinical Infectious Diseases. Published CID, 3/21/2019. Hansson S, Jodal U, Lincoln K, Svanborg-Eden C. Untreated asymptomatic bacteriuria in girls: II--Effect of phenoxymethylpenicillin and erythromycin given for intercurrent infections. BMJ. 1989;298(6677):856-9.Hartman EAR, van de Pol AC, Heltveit-Olsen SR, Lindbaek M, Hoye S, Lithen SS, et al. Effect of a multifaceted antibiotic stewardship intervention to improve antibiotic prescribing for suspected urinary tract infections in frail older adults (ImpresU): pragmatic cluster randomised controlled trial in four European countries. BMJ. 2023;380:e072319.Jansaker F, Li X, Vik I, Frimodt-Moller N, Knudsen JD, Sundquist K. The Risk of Pyelonephritis Following Uncomplicated Cystitis: A Nationwide Primary Healthcare Study. Antibiotics (Basel). 2022;11(12).Vik I, Bollestad M, Grude N, Baerheim A, Damsgaard E, Neumark T, et al. Ibuprofen versus pivmecillinam for uncomplicated urinary tract infection in women-A double-blind, randomized non-inferiority trial. PLoS Med. 2018;15(5):e1002569. Hosted on Acast. See acast.com/privacy for more information.