Treatment of Recurrent Cystitis in Women — Three or More Episodes Per Year

This protocol covers the management of recurrent cystitis specifically in women who meet the threshold for recurrence — three or more episodes within a year, or two or more episodes in the preceding six months.

Clinical scenario: Female patient with recurrent cystitis, defined as at least three episodes of cystitis per year or two episodes of cystitis in the last six months.

Management in this setting involves antimicrobial-based strategies aimed at prevention or early patient-initiated treatment. Depending on patient factors including compliance, prophylactic approaches or self-administered short-course therapy may be considered — the complete regimen with selection criteria is in the full protocol.

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References

Recurrent cystitis is defined by at least three episodes of cystitis per year or two episodes of cystitis in the last six months.

Use continuous or post-coital antimicrobial prophylaxis to prevent recurrent cystitis when non-antimicrobial interventions have failed.

Consider self-administered short-term antimicrobial therapy for patients with good compliance.

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