For the treatment of cystitis in pregnancy using a number of different antibiotics, but the duration of treatment in the presence of symptom relief is almost always seven days. If there are no symptoms, but have been detected in urine bacteria may be assigned a three-day course of treatment.
Antibiotics
Typically, the symptoms of cystitis
Cystitis - symptoms: spasms, cramps and discomfort
pass a couple of days after a patient starts taking antibiotics, but it is necessary to undergo treatment until the end to get rid of pathogens.
Pregnant patients are assigned only those antibiotics that are safe for her and her child - fortunately these preparations there are now quite a few. Consult a doctor if a few days after the beginning of treatment you will not notice improvement, or if the symptoms will worsen. You may have put the wrong diagnosis, and perhaps bacteria that caused cystitis
Cystitis: urgently take action
Resistant to antibiotic prescribing. In this case, the doctor will have to prescribe another drug.
In fact, treatment of cystitis
Treatment of cystitis - in which cases need hospitalization
in pregnant and nonpregnant patients differ only slightly. The most significant difference is that non-pregnant patients may refuse medical treatment - Cystitis pretty quickly pass without it. Pregnant women must be treated as due to a weakened immune system cystitis can lead to serious consequences for the health of both the mother and the unborn child.
Analgesics
The safest non-prescription pain medication for pregnant women considered to paracetamol. It effectively relieves pain, reduces discomfort when urinating, and lowers body temperature. Before taking any other pain relievers, it is necessary to consult a doctor.
Heavy drinking
Eat as much as possible fluids - is the traditional advice given to patients cystitis. However, so far there is no evidence that it really helps to treat cystitis. Some doctors even believe that excessive drinking leads only to more frequent (and painful) of urination. Therefore, in cystitis, occurs with moderate or mild symptoms, the patient can change (or not change) the amount of fluid intake at its discretion. But if cystitis caused a rise in body temperature, be sure to drink lots of water and natural juices - this will help prevent dehydration, which can be dangerous for the unborn child. Generally, during pregnancy should drink more than usual, though, because now the water is needed not only to you but also to the child. Heavy drinking also helps to some extent reduce the risk of recurrence of cystitis.
Treatment of acute cystitis during pregnancy
Acute cystitis - a very unpleasant and during pregnancy - a potentially dangerous disease, so the appearance of its symptoms should seek immediate medical attention. For his diagnosis make urine analysis, the results of which are known to 24-48 hours later. However, treatment should begin as early as possible, so the preliminary diagnosis is generally carried out on the basis of the available patient symptoms. In some cases, also make a rapid analysis, which allows to detect the presence of bacteria in urine. Treatment often prescribed before the results become the laboratory analysis of urine.
For the treatment of the first episode of acute cystitis is usually given three-day course of antibiotics. In the case of repeated episodes of treatment duration can range from seven to ten days. The following table lists the antibiotics that are most often recommended for the treatment of acute cystitis in pregnant patients.
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Drug Name
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Dose
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Notes
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Sulfisoxazole (Gantrizin)
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The first dose - 2 g, and then - 1 g four times a day twice
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It does not take late in pregnancy; It can cause jaundice in the newborn.
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Trimethoprim / sulfamethoxazole
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1 tablet twice a day
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It does not take late in pregnancy; It can cause jaundice in the newborn.
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Macrocrystalline nitrofurantoin (Makrobid)
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100 mg twice a day
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It is not recommended to patients and deficiency of glucose-6-phosphate dehydrogenase; It can cause abnormal hemolysis.
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Cephalexin (Keflex)
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500 mg twice a day
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If allergy to penicillin taken with caution.
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Ampicillin or amoxicillin
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250-500 mg four times a day
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It may cause diarrhea, vulvovaginitis and allergic reactions. Many of the bacteria that cause acute cystitis
Acute cystitis: Treat treated responsibly
 Currently it has to be resistant to these antibiotics. They are used only in cases when the infection is caused by enterococci.
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Amoxicillin / clavulanate (Augmentin)
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875 mg twice a day
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Appointed by repeated infections caused by resistant bacteria
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Many pregnant women have repeated outbreaks of acute cystitis - probably due to the weakening of the immune system during pregnancy. Very often the symptoms of cystitis are felt after sexual intercourse, and to avoid this, doctors recommend as soon as possible after emptying the bladder. This reduces the concentration of bacteria in the urethra, and reduces the likelihood of infection. In addition, you can talk to your doctor about the possibility of prophylactic antibiotics (for pregnant women, it can be recommended in the case of very frequent bouts of cystitis). To prevent cystitis antibiotics are usually taken in the following ways:
- A single dose, taken immediately after sexual intercourse;
- The three-day course of treatment, which begins after the first symptoms of cystitis. More often prescribed for prevention sulfisoxazole, trimethoprim / sulfamethoxazole and nitrofurantoin macrocrystalline.
