{"id":15629,"date":"2026-08-11T09:00:00","date_gmt":"2026-08-11T07:00:00","guid":{"rendered":"https:\/\/suite.claudebernard.fr\/?p=15629"},"modified":"2026-10-21T15:43:48","modified_gmt":"2026-10-21T13:43:48","slug":"cystite","status":"publish","type":"post","link":"https:\/\/suite.claudebernard.fr\/actualites\/cystite\/","title":{"rendered":"Cystite"},"content":{"rendered":"

Qu\u2019est-ce que c\u2019est ?<\/strong><\/h3>\n

Une cystite est une inflammation aigu\u00eb ou chronique de la vessie. Elle est le plus souvent d\u2019origine bact\u00e9rienne et touche, pour des raisons anatomiques, principalement les femmes.<\/strong><\/p>\n

Les sympt\u00f4mes<\/strong><\/h3>\n
    \n
  • La cystite se caract\u00e9rise par des envies fr\u00e9quentes et urgentes d\u2019uriner, avec un faible volume d\u2019urine \u00e9mis \u00e0 chaque fois, ainsi que des br\u00fblures urinaires et parfois une pesanteur ou des douleurs dans le bas-ventre.<\/li>\n
  • Les urines sont troubles, d\u2019odeur forte. Du sang peut \u00eatre pr\u00e9sent en fin de jet.<\/li>\n
  • La pr\u00e9sence de certains crit\u00e8res n\u00e9cessite une consultation m\u00e9dicale en urgence notamment en cas de : fi\u00e8vre, douleur dans le dos, vomissements, diarrh\u00e9es, douleurs abdominales, grossesse, sujet de plus de 65 ans, sujet de sexe masculin.<\/li>\n<\/ul>\n

    Les modes de transmission<\/strong><\/h3>\n
      \n
    • Les germes pr\u00e9sents normalement dans les intestins peuvent prolif\u00e9rer localement au niveau de l\u2019anus ou de la zone vulvaire. Certains facteurs (list\u00e9s ci-dessous) favorisent leur remont\u00e9e par l\u2019ur\u00e8tre jusqu\u2019\u00e0 la vessie. Leur multiplication dans les urines est \u00e0 l\u2019origine de la cystite infectieuse.<\/li>\n<\/ul>\n

      Les facteurs d\u00e9clenchants<\/strong><\/h3>\n
        \n
      • Boire peu d\u2019eau.<\/li>\n
      • Hygi\u00e8ne intime excessive perturbant l\u2019\u00e9quilibre bact\u00e9rien local ou mauvais gestes apr\u00e8s \u00eatre all\u00e9e \u00e0 la selle.<\/li>\n
      • Troubles du transit intestinal (constipation ou diarrh\u00e9e).<\/li>\n
      • Rapports sexuels.<\/li>\n
      • Transpiration et mac\u00e9ration locale.<\/li>\n<\/ul>\n

        Pr\u00e9venir la cystite<\/strong><\/h3>\n
          \n
        • Boire au moins 1,5 litres d\u2019eau par jour.<\/li>\n
        • Aller aux toilettes r\u00e9guli\u00e8rement (\u00e9viter de se retenir et vider compl\u00e8tement la vessie \u00e0 chaque miction), et notamment apr\u00e8s chaque rapport sexuel, en s\u2019essuyant toujours de l\u2019avant vers l\u2019arri\u00e8re.<\/li>\n
        • La flore vaginale doit \u00eatre respect\u00e9e, en utilisant un nettoyant non antiseptique au pH adapt\u00e9. Ne pas utiliser de nettoyants ou d\u00e9odorants intimes parfum\u00e9s.<\/li>\n
        • Il est pr\u00e9f\u00e9rable de porter des pantalons amples et des sous-v\u00eatements en coton.<\/li>\n
        • Changer r\u00e9guli\u00e8rement les protections p\u00e9riodiques durant les r\u00e8gles.<\/li>\n
        • Lutter contre la constipation.<\/li>\n<\/ul>\n

          Le traitement de la cystite<\/strong><\/h3>\n
            \n
          • Il repose sur la prise d\u2019antibiotiques \u00e0 vis\u00e9e urinaire pendant une courte dur\u00e9e : 3 jours, ou m\u00eame seulement 1 jour (traitement monodose). Le traitement doit \u00eatre respect\u00e9 scrupuleusement pour \u00e9viter les r\u00e9cidives. Il est \u00e0 commencer le plus t\u00f4t possible pour pouvoir \u00eatre totalement efficace.<\/li>\n
          • La phytoth\u00e9rapie est une approche compl\u00e9mentaire pour \u00e9viter les r\u00e9cidives (notamment la canneberge contenant 36 mg de proanthocyanidine).<\/li>\n
          • En compl\u00e9ment, l\u2019augmentation du volume des boissons permet d\u2019\u00e9viter la stagnation et la multiplication des germes dans les urines.<\/li>\n<\/ul>\n

            Le saviez vous\u00a0?<\/strong><\/h3>\n

            Depuis Juin 2024, il est possible pour certains patients de r\u00e9aliser sans ordonnance un Test Rapide D\u2019Orientation Diagnostic (TROD) cystite dans les pharmacies d\u2019officine habilit\u00e9es afin de recevoir imm\u00e9diatement l\u2019antibiotique n\u00e9cessaire en cas de test positif. N\u2019h\u00e9sitez pas \u00e0 vous renseigner aupr\u00e8s de votre pharmacien.<\/p>\n

            Les crit\u00e8res d\u2019\u00e9ligibilit\u00e9 \u00e0 la r\u00e9alisation de ce test en pharmacie sans ordonnance sont\u00a0:<\/p>\n

              \n
            • Femme \u00e2g\u00e9e de 16 ans \u00e0 65 ans.<\/li>\n
            • Absence des crit\u00e8res n\u00e9cessitant une consultation m\u00e9dicale d\u2019urgence \u00e9voqu\u00e9s pr\u00e9c\u00e9demment.<\/li>\n
            • Absence de signes gyn\u00e9cologiques (exemple\u00a0: pertes inhabituelles, d\u00e9mangeaisons vaginales ou vulvaires).<\/li>\n
            • Pas plus de 3 cystites dans les 12 derniers mois.<\/li>\n
            • Absence de cysite non r\u00e9solue dans les 15 derniers jours .<\/li>\n
            • Absence d\u2019anomalie de l\u2019arbre urinaire.<\/li>\n
            • Absence d\u2019immunod\u00e9pression ou de risque d\u2019immunod\u00e9pression li\u00e9e \u00e0 une pathologie ou \u00e0 un traitement.<\/li>\n
            • Absence de pathologie r\u00e9nale chronique s\u00e9v\u00e8re.<\/li>\n
            • Absence d\u2019antibioth\u00e9rapie en cours.<\/li>\n
            • Absence de prise de fluoroquinolone les 3 derniers mois.<\/li>\n
            • Absence de port de cath\u00e9ter veineux.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"

              Qu\u2019est-ce que c\u2019est ? Une cystite est une inflammation aigu\u00eb ou chronique de la vessie. Elle est le plus souvent d\u2019origine bact\u00e9rienne et touche, pour des raisons anatomiques, principalement les femmes. Les sympt\u00f4mes La cystite se caract\u00e9rise par des envies fr\u00e9quentes et urgentes d\u2019uriner, avec un faible volume d\u2019urine \u00e9mis \u00e0 chaque fois, ainsi que […]<\/p>\n","protected":false},"author":22,"featured_media":15632,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[196],"tags":[],"class_list":["post-15629","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-fiche-conseil"],"acf":[],"yoast_head":"\nCystite : sympt\u00f4mes, causes, pr\u00e9vention et traitement<\/title>\n<meta name=\"description\" content=\"Cystite : br\u00fblures urinaires, envies fr\u00e9quentes ? 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