recurrent urinary tract infection

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Etiology

* estrogen deficiency & sexual activity may also play a role

Clinical manifestations

  • presents > 2 weeks after treatment completion of previous infection

Diagnostic criteria

  • 2 or more UTIs within 6 months
  • 3 or more UTIs within 12 months
  • presents > 2 weeks after completion of therapy for index UTI[5]

Laboratory

Diagnostic procedures

Management

More general terms

References

  1. 1.0 1.1 1.2 1.3 Geriatrics Review Syllabus, American Geriatrics Society, 5th edition, 2002-2004
    Geriatric Review Syllabus, 8th edition (GRS8) Durso SC and Sullivan GN (eds) American Geriatrics Society, 2013
    Geriatric Review Syllabus, 10th edition (GRS10) Harper GM, Lyons WL, Potter JF (eds) American Geriatrics Society, 2019
  2. 2.0 2.1 Prescriber's Letter 19(4): 2012 Prevention of Recurrent Urinary Tract Infections in Women Detail-Document#: http://prescribersletter.com/(5bhgn1a4ni4cyp2tvybwfh55)/pl/ArticleDD.aspx?li=1&st=1&cs=&s=PRL&pt=3&fpt=25&dd=280411&pb=PRL (subscription needed) http://www.prescribersletter.com
  3. 3.0 3.1 Beerepoot MAJ et al. Lactobacilli vs antibiotics to prevent urinary tract infections: A randomized, double-blind, noninferiority trial in postmenopausal women. Arch Intern Med 2012 May 14; 172:70 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/22782199 <Internet> http://archinte.jamanetwork.com/article.aspx?articleid=1151418
  4. 4.0 4.1 4.2 Beerepoot MA et al Cranberries vs antibiotics to prevent urinary tract infections: a randomized double-blind noninferiority trial in premenopausal women. Arch Intern Med. 2011 Jul 25;171(14):1270-8. PMID: https://www.ncbi.nlm.nih.gov/pubmed/21788542
  5. 5.0 5.1 5.2 5.3 5.4 5.5 Medical Knowledge Self Assessment Program (MKSAP) 16, 17, 18, 19. American College of Physicians, Philadelphia 2012, 2015, 2018, 2021.
  6. Dielubanza EJ, Schaeffer AJ. Urinary tract infections in women. Med Clin North Am. 2011 Jan;95(1):27-41 PMID: https://www.ncbi.nlm.nih.gov/pubmed/21095409
  7. 7.0 7.1 Wang CH et al Cranberry-Containing Products for Prevention of Urinary Tract Infections in Susceptible Populations: A Systematic Review and Meta-analysis of Randomized Controlled Trials Arch Intern Med. 2012;172(13):988-996 PMID: https://www.ncbi.nlm.nih.gov/pubmed/22777630
  8. McMurdo ME, Argo I, Phillips G, Daly F, Davey P Cranberry or trimethoprim for the prevention of recurrent urinary tract infections? A randomized controlled trial in older women. J Antimicrob Chemother. 2009 Feb;63(2):389-95. PMID: https://www.ncbi.nlm.nih.gov/pubmed/19042940
  9. Hooton TM. Clinical practice. Uncomplicated urinary tract infection. N Engl J Med 2012 Mar 16; 366:1028. PMID: https://www.ncbi.nlm.nih.gov/pubmed/22417256
  10. 10.0 10.1 Schaeffer CG, Nicolle LE Urinary Tract Infections in Older Men. N Engl J Med 2016; 374:562-571. February 11, 2016 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/26863357 <Internet> http://www.nejm.org/doi/full/10.1056/NEJMcp1503950
  11. 11.0 11.1 11.2 Judge C, Sadoughi S, Sofair A TMP-SMX Resistance in Pediatric Recurrent UTIs Higher after Prophylaxis but Declines Over Time. Physician's First Watch, March 14, 2016 David G. Fairchild, MD, MPH, Editor-in-Chief Massachusetts Medical Society http://www.jwatch.org
    Nelson CP, Hoberman A, Shaikh N et al Antimicrobial Resistance and Urinary Tract Infection Recurrence. Pediatrics. April 2016 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/26969273 <Internet> http://pediatrics.aappublications.org/content/early/2016/03/09/peds.2015-2490
  12. Anonymous Prevention of recurrent urinary tract infections in women. Drug Ther Bull. 2013 Jun;51(6):69-72 PMID: https://www.ncbi.nlm.nih.gov/pubmed/23766394
  13. 13.0 13.1 NEJM Knowledge+ Question of the Week. July 18, 2017 https://knowledgeplus.nejm.org/question-of-week/4371/
  14. 14.0 14.1 Hooton TM, Vecchio M, Iroz A et al
    Effect of Increased Daily Water Intake in Premenopausal Women With Recurrent Urinary Tract Infections. A Randomized Clinical Trial. JAMA Intern Med. Published online October 1, 2018 PMID: https://www.ncbi.nlm.nih.gov/pubmed/30285042 https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2705079
    Grady D Drinking More Water for Prevention of Recurrent Cystitis. JAMA Intern Med. Published online October 1, 2018 PMID: https://www.ncbi.nlm.nih.gov/pubmed/30285051 https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2705077
  15. 15.0 15.1 NEJM Knowledge+