top of page
Search
#Cystitis: Yesterday, Today and Tomorrow
Historically, #cystitis generally was a problem for women, who otherwise were well. They suffered in silence, drank water like fish, and, perhaps, also guzzled K+ citrate and/or cranberry juice, for what they thought they were worth. Antibiotics’ arrival brought simple and convenient “pill-popping,” treatment with most getting symptom relief, while the others continued suffering quietly, so cystitis garnered little medico-scientific interest. Today, cystitis presents very d

Scott Glickman
Aug 7, 20242 min read
A meeting with the UK health Security Agency on #antimicrobial resistance (AMR) development from cystitis treatments
Colleagues Some good news: I had a meeting with the #UKHSA this week to present my root cause analysis on #AMR. I was met by insightful...

Scott Glickman
Jun 25, 20241 min read
The new UK anti-AMR strategy plan
Colleagues I’ve been wading through the UK #governments second 5-year anti-AMR action plan, “Confronting #AntimicrobialResistance 2024-20...

Scott Glickman
Jun 6, 20241 min read


Cystitis and AMR. A critical analysis in <300 words,
UroPharma produced #intravesical drug-delivery technology to bring, under licence, better cystitis (lower #UTI) treatments. For decades,...

Scott Glickman
Apr 24, 20241 min read
Success, dependence and demise or innovation
When we find a solution to a problem, naturally we look to the same approach for the next similar challenge. #Antibiotics changed the...

Scott Glickman
Apr 9, 20241 min read
"We know almost nothing about managing UTI"
“We know almost nothing about managing UTI.” This assertion went unchallenged at the British Society of #Antimicrobial Chemotherapy multidisciplinary conference of experts last year. Increasingly, we struggle because following #cystitis #treatments, #infection recurrences and #antimicrobial #resistance too often occur, compromising patients’ health and efficient service provision. PubMed UK searches reveal over 81,000 articles are available on “UTI” and more than 16,000 on

Scott Glickman
Feb 19, 20241 min read
Responsible antibiotic stewardship
By Prof. Scott Glickman If a drug treatment for #cystitis is approved by a patient safety regulatory agency, without evidence that it can produce cure, who, if anyone, actually is, or should be responsible for an infection recurrence with it? I ask because I see no convincing evidence that any approved oral #antibiotic treatment has ever come with evidence that it reliably cures cystitis (i.e. produces pathogen annihilation). Of course, I see symptom recovery, but notwithst

Scott Glickman
Jan 26, 20241 min read
More on #Cystitis and #AMR
Homeostatic mechanisms optimise our cellular chemistry. #antibiotics treatments are developed specifically to work in our narrow-band homeostatic chemical milieu to be delivered through blood to #infection sites for intimate combat with #bacterial invaders. With #cystitis, the bacteria are planktonic in urine and attached to urothelial cell membranes, so are too far away to be influenced by that approach. For #antibiotic tablets to have any chance to be effective against cy

Scott Glickman
Jan 23, 20242 min read
bottom of page