How are bladder infections treated?

Urinary tract infections (UTIs) are a common health issue that can be treated through various methods, depending on the specifics of the infection and the patient's condition.

Antibiotic therapy is a standard treatment for UTIs, with no significant difference in outcomes between a 3-day and a 10-day course of antibiotics for certain patients.
Prophylactic antibiotic treatment concurrent with bladder catheterization can prevent catheter-associated UTIs.
Bladder irrigation with antiseptics like chlorhexidine can significantly reduce the incidence of postoperative bacteriuria.
Oral antifungal agents like fluconazole are effective for treating fungal UTIs and may have a better safety profile compared to bladder irrigation with antifungal agents like amphotericin B.
Intravesical gentamicin may be an effective and safe treatment for recurrent UTIs in patients practicing intermittent bladder catheterization, especially against multi-resistant microorganisms.
Continuous low-dose antimicrobial prophylaxis or post-intercourse antibiotic prophylaxis has been successful in preventing UTIs in susceptible individuals.
Intravesical bacteriophage therapy has shown to be non-inferior to standard antibiotic treatment for UTIs in patients undergoing transurethral resection of the prostate, but not superior to placebo.
Amphotericin B bladder irrigation can eradicate funguria in a significant number of patients, although it may not be the ideal therapy.
For acute uncomplicated UTIs, 3-day antibiotic regimens are generally more effective than single-dose regimens, with trimethoprim-sulfamethoxazole being a preferred treatment.
For Candida UTIs, fluconazole is preferred due to its safety and high urine concentrations, while bladder irrigation with antifungal agents has limited utility.

In conclusion, the treatment of UTIs typically involves antibiotics, with the duration and type of antibiotic therapy varying based on the infection's characteristics and patient's needs. Antifungal agents are used for fungal UTIs, and prophylactic measures can be effective in preventing infections. Intravesical treatments, such as gentamicin or bacteriophages, may be beneficial in certain cases, particularly for patients with recurrent infections or undergoing specific procedures.

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How are bladder infections treated?

Summary

Sources and full results

Suppression and treatment of urinary tract infection in patients with an intermittently catheterized neurogenic bladder.

Suppressive antibiotics, asymptomatic treatment, and full course antibiotic therapy show no advantage over placebo, symptomatic treatment, and short course therapy in managing urinary tract infections in patients with an intermittently catheterized neurogenic bladder.

Bladder catheterization increases susceptibility to infection that can be prevented by prophylactic antibiotic treatment.

Prophylactic antibiotic treatment can prevent catheter-associated urinary tract infections, improving patient and healthcare economic outcomes.

Bladder irrigation with chlorhexidine for the prevention of urinary infection after transurethral operations: a prospective controlled study.

Chlorhexidine bladder irrigation significantly reduces the incidence of postoperative urinary infection in men after transurethral operations, but does not eliminate pre-existing infections.

Oral fluconazole compared with bladder irrigation with amphotericin B for treatment of fungal urinary tract infections in elderly patients.

Oral fluconazole is more effective and safer than bladder irrigation with amphotericin B for treating fungal urinary tract infections in elderly patients, but local therapy may be associated with poorer survival.

Intravesical gentamicin for recurrent urinary tract infection in patients with intermittent bladder catheterisation.

Intravesical gentamicin treatment may be a reasonable option for selected patients with intermittent bladder catheterisation who suffer recurrent urinary tract infections with highly resistant microorganisms, with no significant side effects reported.

Prevention of urinary tract infections.

Continuous low-dose antimicrobial prophylaxis is effective and cost-effective in preventing urinary tract infections in susceptible women, while screening for asymptomatic infections remains important in pregnant women.

Intravesical bacteriophages for treating urinary tract infections in patients undergoing transurethral resection of the prostate: a randomised, placebo-controlled, double-blind clinical trial.

Intravesical bacteriophage therapy with a commercial bacteriophage cocktail is effective in treating urinary tract infections in patients undergoing transurethral resection of the prostate, but treatment success rates were not significantly different between groups.

Bladder irrigation with amphotericin B for treatment of fungal urinary tract infections.

Amphotericin B bladder irrigation effectively eradicated funguria in 80% of patients, but may not be ideal therapy due to high mortality rates.

Management of acute uncomplicated urinary tract infection in adults.

A 3-day regimen with trimethoprim-sulfamethoxazole is more effective than single-dose regimens for treating acute uncomplicated urinary tract infections in adults.

Candida urinary tract infections--treatment.

Fluconazole is the preferred treatment for Candida urinary tract infections, with flucytosine being a potential alternative, and low-dose amphotericin B being useful in selected patients.

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