For this investigation, a minimum level of bladder contamination, up to 10,000 colonies per mL, is considered normal. A concentration greater than 100,000 colonies per ml could be the consequence of an ongoing bacterial infection (cystitis), provided that the analysis was performed on intermediate urine and with an adequate procedural technique.
In such circumstances, we speak of bacteriuria.
Once an abnormal bacterial concentration has been detected, an antibiogram is carried out, an examination necessary to test the sensitivity of the bacterial colony to the various antibiotics.
In the case of recurrent cystitis, in addition to the microbiological diagnosis, urological, gynecological, gastroenterological and endocrinological tests may also be necessary to better understand the situation, precisely because of the multifactorial nature of the infection.
For further information: Cystitis: What it is, Causes and Symptoms most frequently responsible for cystitis is Escherichia coli (E. Coli), followed in order of importance by Proteus vulgaris and from Klebsiella.
The vehicles of infection are many and, at least theoretically, cystitis could also be the consequence of a simple wipe capable of transporting bacteria near the urethral opening during normal daily hygiene operations.
Here are some simple rules of behavior to prevent cystitis:
- Drink a lot and often. The consumption of water helps prevent the onset of cystitis, preventing urine from stagnating for a long time inside the bladder.
- Avoid holding your pee for too long, as the rarefaction of urination would facilitate bacterial multiplication.
- Follow a healthy and balanced diet, indulge in regenerating breaks from time to time and practice regular physical exercise; these behavioral rules are very important to ensure the optimal efficiency of the immune system.
- Avoid sexual intercourse with people at risk or at least use precautions.
- Drink a few glasses of water, urinate and cleanse your intimate areas after intercourse.
- Avoid the common use of towels and underwear, at home, in the hotel, or in any other conditions.
- Avoid staying long with the wet swimsuit.
- Do not wear pants, underwear, or other clothing that is too tight.
- Better to wear cotton underwear, which, compared to synthetic fibers, guarantees better breathability.
The usefulness of lactic ferments and vitamin A should also be noted.
The actual therapy is based on the administration of antibiotics and painkillers (antispasmodics that reduce the contraction of the bladder muscles).
Antibiotic drugs can be taken as a single dose (if in the first episode) or through a short three-day course (chronic cystitis) which, according to recent studies, seems more effective than single doses.
A few days after the end of the treatment, a new evaluation of the symptoms and urine tests is scheduled, in order to prevent the cystitis from becoming chronic or complicated.
For the success of the treatment, it is essential to strictly follow the doctor's advice.
After menopause, the treatment of chronic cystitis can also make use of natural or synthetic estrogens.
For the success of the treatment it is essential to strictly follow the doctor's advice. After menopause, the treatment of chronic cystitis can also make use of natural or synthetic estrogens.
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