Development of clinical recommendations “Cystitis in women”


DOI: https://dx.doi.org/10.18565/urology.2022.1.118-125

T.S. Perepanova

1) N.А. Lopatkin Research Institute of Urology and Interventional Radiology - a branch of the National Medical Research Radiological Center, Moscow, Russia; 2) Russian Society of Urologists, Moscow, Russia
The article is devoted to the stages of developing clinical recommendations on bacterial cystitis in accordance with the order of the Ministry of Health of Russia. Principles of evidence -based medicine (meta-analyses, systematic reviews and randomized clinical trials) are given. The Evidence Validity Level Assessment Scale (TDS) and Recommendation Credibility Level Assessment Scale (TDS) are given. In accordance with these requirements, modern methods for diagnosing bacterial cystitis have been selected, including the Acute Cystitis Symptom Score (ACSS), and the urination diary. Current approaches to treatment of asymptomatic bacteriuria, antimicrobial treatment regimens of acute and recurrent bacterial cystitis are given. Evidence-based methods of cystitis recurrence prevention are presented. Information is also provided for patients, including lifestyle recommendations, water regime, risk factors for cystitis recurrences, and explanations for completing questionnaires and diaries.

About the Autors


Corresponding author: T.S. Perepanova – MD, professor, Head of Infectious and Inflammatory Diseases and Clinical Pharmacology Panel of the Department of General and Reconstructive Urology of N.Lopatkin Research Institute of Urology and Interventional Radiology – a branch of the National Medical Research Radiological Center, Moscow, Russia, e-mail: Perepanova2003@mail.ru


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