Lactobacillus for recurrent UTI

Oral capsules of lactobacillus effectively reduce recurrent urinary tract infections without causing resistance or interfering with normal human bacterial flora. However, in a head to head trial published in Arch Intern Med (2012) comparing lactobacillus to antibiotic (cotrimoxazole) suppression therapy, lactobacillus treatment was not as effective at reducing recurrent urinary tract infection In post menopausal women as the antibiotics.

Women treated with lactobacilli prophylactically for 12 months saw a reduction in the mean number of UTIs from 6.8 to 3.3, whereas those women treated with prophylactic trimethoprim-sulfamethoxazole had a reduction in the number of UTIs from 7.0 to 2.9.

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