This CKS topic covers the management of women with cystitis, asymptomatic bacteriuria, recurrent lower urinary tract infection UTI and UTI in association with an indwelling urinary catheter. It also does not cover the management of UTI in girls younger than 16 years of age. There are separate CKS topics on vaginal infections including Bacterial vaginosisCandida - female genitalHerpes simplex - genitaland Trichomoniasis.
If your institution subscribes to this resource, and you don't have a MyAccess Profile, please contact your library's reference desk for information on how to gain access to this resource from off-campus. Urinary tract infection UTI is a common and painful human illness that, fortunately, is rapidly responsive to modern antibiotic therapy. In the preantibiotic era, UTI caused significant morbidity.
UTIs are the most frequent bacterial infections in humans. Up to a third of women will experiences one in their lifetime and a quarter of patients having a UTI will have a recurrence within 6 months. For those who suffer with recurrent UTIs it can be severely debilitating.
The truth is, there are very few conclusive guidelines for recurrent UTI treatment. If you show up at a clinic with yet another UTI, you will most likely receive a short course of antibiotics — the same treatment you would if it was your first UTI. A common scenario, described by many females who experience recurrent UTI, and supported by various guidelines, looks like this:. If you take antibiotics each time you get a UTI, but you continue to get UTIs, you should question whether the antibiotic is working at all.
Physical examination follows the patient history and includes checking vital signs to assess for fever, tachycardia, and tachypnea. Suprapubic and costovertebral angle tenderness is checked with palpation and percussion of the abdomen and back. Observe skin turgor and urine output to assess for dehydration.
The following information is NOT intended to endorse drugs or recommend therapy. While these reviews might be helpful, they are not a substitute for the expertise, skill, knowledge and judgement of healthcare practitioners in patient care. What next?
Despite the frequency of UTIs, there is confusion about diagnostic strategies, and changes in antimicrobial resistance among uropathogens require alterations in traditional treatment regimens. The purpose of this bulletin is to address the diagnosis, treatment, and prevention of uncomplicated acute bacterial cystitis and acute bacterial pyelonephritis in nonpregnant women. Complicated UTIs eg, in patients with diabetes mellitus, abnormal anatomy, prior urologic surgery, a history of renal stones, an indwelling catheter, spinal cord injury, immunocompromise, or in pregnant patients are a heterogeneous group of conditions beyond the scope of this bulletin.
A Seat on the Aisle, Please! Urinary tract infections are by no means a problem exclusive to healthy, sexually active women. Children and men certainly suffer the wrath of bacterial invasion into the normally sterile urine. However, women have a propensity to develop infections in the urine more so than men because of their unique anatomy.
Urinary tract infections UTIs are common in women, with cystitis inflammation or infection of the bladder by far the most common type of UTI. The following tips can help you avoid cystitis and other UTIs and help prevent recurrences. Drink lots of fluids every day.
Patient information : See related handout on recurrent urinary tract infectionswritten by the authors of this article. Recurrent urinary tract infections UTIs are common in women, including healthy women with normal genitourinary anatomy. Recurrent UTI is typically defined as three or more UTIs within 12 months, or two or more occurrences within six months.