Internal Medicine: Open Access
Open Access
ISSN: 2165-8048
+44 1300 500008
ISSN: 2165-8048
+44 1300 500008
Department of Obstetrics and Gynecology, 500 University Drive, Hershey, PA, USA
Review Article
Best Practices for Recurrent Urinary Tract Infections in Females
Author(s): Dominique Exume, Anna Posner and Jaime B. Long*
Recurrent Urinary Tract Infection (RUTI) is a common plight among adult women. The cause of RUTI is multifactorial, with many host and pathogenic features acting as risk factors for development. When a patient develops a pattern of recurrent urinary tract infections, prompt recognition allows for accurate diagnosis, appropriate treatment, and effective preventive measures. Diagnosis of RUTI requires occurrence of 2 culture-proven UTIs in 6 months, or 3 in 12 months. When RUTI is recognized, evaluation with a thorough history and examination is indicated. On occasion, other diagnostic testing is warranted. Current guidelines for treatment of acute uncomplicated cystitis propose first-line antibiotic regimens, which are applied to women with RUTI, with certain exceptions due to resistance, medical conditions, or allergies. Prevention may involve topical estrogen treatment for women in a.. View More»