Modern pharmacotherapy for chronic recurrent cystitis: problems and opportunities

Shikh E.V., Lazareva N.B., Rebrova E.V., Ryazanova A.Yu.

1) Department of Clinical Pharmacology and Internal Propedeutics, Faculty of General Medicine, I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia, Moscow, Russia; 2) Department of Clinical Pharmacology and Intensive Therapy with Course of Clinical Pharmacology, Faculty of Postgraduate Training of Physicians, with Course of Clinical Allergology, Faculty of Postgraduate Training of Physicians, Volgograd State Medical University, Ministry of Health of Russia, Volgograd, Russia
The paper provides an overview of current global approaches to pharmacotherapy for chronic recurrent cystitis, including non-antibacterial treatments. The urgency of this problem is associated with the extremely high prevalence of the disease in Russia and worldwide. The antimicrobial resistance in uropathogens has increased dramatically over the past two decades. In cases of recurrent cystitis, the routine management tactics for patients is to increase the time of, doses or to expand antibiotic therapy regimens, despite the lack of evidence supporting this treatment strategy. The lowest resistance of E. coli, the main pathogen of urinary tract infections, is noted for fosfomycin (0-2.9%), nitrofurans (0-4.4%) and mecillinam (0-4%).

Keywords

chronic cystitis
antibiotic resistance
fosfomycin
D-mannose

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Received 10.06.2019

Accepted 21.06.2019

About the Authors

Shih Evgenia V., MD, professor, Department of clinical pharmacology and propaedeutics of internal diseases of the medical faculty of the First Moscow state medical University. I. M. Sechenova (Sechenov University)» Ministry of health of Russia, Moscow, Russia;
119991, Moscow, Trubetskaya str., 8, p. 2, tel +7(495) 609-19-91; e-mail:chih@mail.ru
Lazareva Natalia B. ,MD, professor , Department of clinical pharmacology and propaedeutics of internal diseases of the medical faculty of the First Moscow state medical University. I. M. Sechenova (Sechenov University)». 119991, Moscow, Trubetskaya str., 8, p. 2, tel +7(495) 609-19-91;
Rebrova Ekaterina V. Ph.D, associate Professor of the Department of clinical pharmacology and propaedeutics of internal diseases of the medical faculty of the First Moscow state medical University. I. M. Sechenova (Sechenov University)" Ministry of health of Russia, Moscow, Russia;
119991, Moscow, Trubetskaya str., 8, p. 2, tel +7(495) 609-19-91; e-mail:katrina1987@rambler.ru
Ryazanova Anastasia Y. Department of clinical pharmacology and intensive care with a course of clinical pharmacology of fuv, clinical Allergology of fuv "Volgograd state medical University" of the Ministry of health of Russia, Volgograd, Russia 400131, Volgograd, Ploshchad' Pavshikh Bortsov, 1.

For citations: Shikh E.V., Lazareva N.B., Rebrova E.V., Ryazanova A.Yu. Modern pharmacotherapy for chronic recurrent cystitis: problems and opportunities. Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2019; (7):124-130 (in Russian).
http://dx.doi.org/10.18565/aig.2019.7.124-130

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