Recurrent Urinary Tract Infections: Diagnosis, Treatment, and Prevention

Julie Peck; Jonathan P Shepherd

doi:10.1016/j.ogc.2021.05.005

Recurrent Urinary Tract Infections: Diagnosis, Treatment, and Prevention

Obstet Gynecol Clin North Am. 2021 Sep;48(3):501-513. doi: 10.1016/j.ogc.2021.05.005.

Authors

Julie Peck¹, Jonathan P Shepherd²

Affiliations

¹ St Francis Hospital Trinity Health, 114 Woodland Street, OB Administration 43, Hartford, CT 06105, USA. Electronic address: Julie.michele.peck@gmail.com.
² St Francis Hospital Trinity Health, 114 Woodland Street, OB Administration 43, Hartford, CT 06105, USA.

PMID: 34416934
DOI: 10.1016/j.ogc.2021.05.005

Abstract

Urinary tract infections are common infections seen by obstetrician/gynecologists and primary care providers. Recurrent urinary tract infections are difficult to treat and decrease quality of life. This article addresses the diagnosis, treatment, and prevention of recurrent urinary tract infections, including pharmacologic and nonpharmacologic interventions. Most notably, increased interest in the urinary microbiome is leading to improved understanding of virulent and commensal bacteria in the genitourinary tract. Understanding the causative factors of recurrent urinary tract infections will lead to improved detection, treatment, and prevention.

Keywords: Recurrent urinary tract infection; UTI prevention; Uncomplicated UTI; Women.

Publication types

Review

MeSH terms

Anti-Bacterial Agents / therapeutic use
Humans
Quality of Life*
Recurrence
Urinary Tract Infections* / diagnosis
Urinary Tract Infections* / prevention & control

Substances

Anti-Bacterial Agents