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Recurrent urinary tract infection
Annette Epp1, Annick Larochelle2,
1Saskatoon SK.
Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'Obstetrique Et Gynecologie Du Canada : JOGC
|December 24, 2010
Summary
Recurrent urinary tract infections (UTIs) in women require thorough investigation and can be effectively managed. Various prophylaxis options exist, tailored to individual patient needs for prevention.
Area of Science:
- Urology
- Infectious Diseases
- Women's Health
Background:
- Recurrent urinary tract infections (UTIs) are a common and impactful condition in women.
- Understanding the latest evidence on UTI definition, epidemiology, and clinical presentation is crucial.
Purpose of the Study:
- To provide an updated overview of recurrent UTIs in women.
- To cover definition, epidemiology, clinical presentation, investigation, treatment, and prevention strategies.
Main Methods:
- Literature search of PubMed and The Cochrane Library.
- Inclusion of systematic reviews, randomized controlled trials, controlled clinical trials, and observational studies.
- No date restrictions applied to the search.
Main Results:
- Continuous antibiotic prophylaxis, post-coital antibiotic prophylaxis, and acute self-treatment are effective prevention strategies.
- Vaginal estrogen and cranberry juice are also identified as potential prophylactic alternatives.
- Recurrent UTIs necessitate careful investigation and offer efficient treatment and prevention pathways.
Conclusions:
- Recurrent urinary tract infections are manageable with appropriate investigation and tailored prevention.
- A range of prophylaxis options allows for individualized patient care.
- This update reflects the consensus of the Society of Obstetricians and Gynaecologists of Canada's Sub-Committee on Urogynaecology.
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