Risk factors for recurrent cystitis following acute cystitis in female patients

Abstract We conducted a retrospective analysis of acute cystitis (AC) patients to evaluate the risk factors of recurrent cystitis (RC) patients following AC. The clinical records of 254 subjects with a confirmed diagnosis of AC and 90 healthy subjects who visited the Health Promotion Center between...

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Bibliographic Details
Published in:Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy 2013-08, Vol.19 (4), p.727-731
Main Authors: Yoon, Byung Il, Kim, Sun Wook, Ha, U-Syn, Sohn, Dong Wan, Cho, Yong-Hyun
Format: Article
Language:English
Subjects:
Acute Disease
Adult
Cystitis
Cystitis - complications
Cystitis - epidemiology
Cystitis - microbiology
Diabetes Mellitus
Enterococcus
Escherichia coli
Factor
Female
Hematology, Oncology and Palliative Medicine
Humans
Hypertension
Infectious Diseases
Klebsiella
Medical Microbiology
Medicine
Medicine & Public Health
Middle Aged
Original Article
Recurrence
Recurrent
Retrospective Studies
Risk Factors
Sexual Behavior
Staphylococcus saprophyticus
Virology
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Summary:Abstract We conducted a retrospective analysis of acute cystitis (AC) patients to evaluate the risk factors of recurrent cystitis (RC) patients following AC. The clinical records of 254 subjects with a confirmed diagnosis of AC and 90 healthy subjects who visited the Health Promotion Center between 2008 and 2012 were reviewed. A patient was diagnosed with RC if she was treated for three or more symptomatic episodes of cystitis over a 12-month period. Results were analyzed according to three groups: normal control (group A, n = 90), AC (group B, n = 121), and RC (group C, n = 133). Women in the cystitis groups (groups B and C) were more likely to have diabetes, be menopausal, have a history of catheterization or sexually transmitted infections (STI), have a low daily water intake, have frequent sexual intercourse, and to use contraception more frequently than the normal control group ( P < 0.05). In groups B and C, Escherichia coli was the most common uropathogen, followed by Staphylococcus saprophyticus , Enterococcus species, and Klebsiella species. There were no differences between groups in the detection rates of these uropathogens. Factors that affected progression to RC were diabetes, catheterization history, STI history, sexual intercourse more than four times per month, sexual intercourse in the last month, and the use of contraceptives ( P  
ISSN:1341-321X
1437-7780
DOI:10.1007/s10156-013-0556-2