Prevention and treatment of recurrent urinary tract infections in women

  In the clinic, we often see a lot of women who say that they often have recurrent urinary frequency, urinary urgency and pain.  Therefore, it is important to seek medical attention when symptoms begin to appear, use medication under the guidance of a specialist, and make appointments for susceptibility factors. So, if there are recurrent episodes of day long trouble how to prevent and control it?  For this in receiving treatment should follow the following treatment principles: 1, the application of antimicrobial therapy must be carried out under the guidance of a specialist; 2, antimicrobial therapy should not be stopped immediately after the effect, but should continue to take 3-7 days. In the case of acute pyelonephritis, it should be taken continuously for 4-6 weeks, and it is best to change an effective antimicrobial every week; 3, recurrent urinary tract infections should not be repeatedly treated with the same type of antimicrobial, otherwise the body is prone to drug resistance and affect the efficacy; 4, for the initial treatment of poor results, the cause should be found as soon as possible, for the middle urine culture and bacterial sensitivity test.  The most effective program to prevent recurrent urinary tract infections is the prophylactic treatment with small doses of antimicrobials. The prerequisite for this regimen is that the urinary tract infection has been controlled by conventional therapy. Any first-line drug taken at night at 1/4 to 1/6 of its regular daily dose for 6 to 12 weeks can significantly reduce the recurrence rate of urinary tract infections and can alter the cycle of recurrent infections.  Commonly used prophylactic medications include: furantoin, Pioneerin IV, and cotrimoxazole. If the infection recurs even after the patient stops this low-dose prophylactic regimen, the use of prophylactic antimicrobials may be considered for an extended period of up to 2 years. Alternatively, drug administration may be changed to every other day. For young women who are more sexually active, prompt post-coital genital cleansing and a single dose of antimicrobial may significantly reduce the recurrence of urinary tract infections.  In order to prevent urinary tract infections, it is possible to prevent the occurrence of urinary tract infections by changing our personal habits of daily life: 1. Water is a good thing, it is best to drink 2000m| of water every day, which helps flush bacteria out of the urinary tract; 2. Use more drinks containing vitamin C, such as lingonberry, they can increase the acidity of urine and keep the bladder wall smooth, causing 3. Urinate as soon as you feel the urge to do so, because bacteria cannot stay in the bladder and are naturally less likely to grow and multiply there; 4. Schedule urination shortly after sexual intercourse, so that bacteria that may have entered the bladder during sexual intercourse may be expelled; 5. Wipe, so that you can not make the anal stuff to the side of the urethra, more so in the solution of the stool; 6, should wear underwear made of cotton, and clothing can not be too tight, so that the local air circulation, to help keep the local dry. Do not use tight jeans and nylon underwear, because these clothes can make the lower body moist, and this environment can help the growth of bacteria; 7, women need to use vaginal diaphragm or spermicide for contraception, can increase the opportunity for bacterial growth, and may lead to inflammation of the urethra. If a patient is having trouble with this, a change in measures and methods should be considered. Poorly lubricated or spermicidal condoms can increase local irritation and help bacteria to cause symptoms, consider changing to a slippery, non-spermicidal condom.