Recurrent UTI in Women-Risk Factors and Management

Infect Dis Clin North Am. 2024 Jun;38(2):325-341. doi: 10.1016/j.idc.2024.03.010. Epub 2024 Apr 10.

Abstract

Urinary tract infections (UTIs) are common in women; more than 50% of women will be diagnosed with a UTI in her lifetime. Many of these women will go on to develop recurrent UTI. Nevertheless, evidence-based prevention of recurrent UTI is under-utilized. Here, the authors provide detailed practical advice on UTI prevention with a thorough review of the evidence. Non-antibiotic prevention measures discussed include increased fluid intake, vaginal estrogen therapy, methenamine, and cranberry. Antibiotic prophyalxis for carefully selected patients is also discussed.

Keywords: Methenamine; Recurrent urinary tract infection; Urinary tract infection; Vaginal estrogen.

Publication types

  • Review

MeSH terms

  • Anti-Bacterial Agents / therapeutic use
  • Female
  • Humans
  • Recurrence
  • Risk Factors
  • Secondary Prevention / methods
  • Urinary Tract Infections* / drug therapy
  • Urinary Tract Infections* / prevention & control

Substances

  • Anti-Bacterial Agents