[One-time therapy of acute cystitis in women. Comparison between gentamycin and amoxicillin]

In a randomized trial 65 women with symptoms of acute cystitis and significant bacteruria were treated with 120 mg gentamycin intramuscularly or 3 g amoxicillin orally. The patients were selected by excluding those with recurrent infection and involvement of the upper urinary tract (by history and clinical examination). The urine was sterile in 53 patients (82%) after a one-week treatment-free interval. The results indicate that there was no statistically significant difference between the two treatment groups. Further diagnostic tests revealed an underlying urological disease in five of the 12 remaining patients.