Title: Common Questions About Recurrent Urinary Tract Infections in Women - American Family Physician
Headings: Common Questions About Recurrent Urinary Tract Infections in Women
Common Questions About Recurrent Urinary Tract Infections in Women
SORT: KEY RECOMMENDATIONS FOR PRACTICE
What Are the Risk Factors for Recurrent UTIs?
Is Susceptibility to Recurrent UTIs Inherited?
When Is Further Clinical Evaluation Recommended?
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Evaluation and Management of Recurrent UTI
Selected Factors That Warrant Further Evaluation in Patients with Recurrent Urinary Tract Infections
Which Antibiotic Regimens Are Appropriate for Recurrent UTIs?
Treatment Regimens for Uncomplicated Acute Cystitis and Recurrent Urinary Tract Infections
What Are the Benefits of Patient-Initiated Treatment?
Which Prophylactic Regimens Are Recommended?
Recommended Prophylactic Regimens for Recurrent Urinary Tract Infections
Are There Alternative Treatment Strategies to Limit Antibiotic Use?

Content: Recurrent UTI is typically defined as three or more UTIs in 12 months, or two or more infections in six months. 2 – 5 Recurrence is thought to occur by ascent of uropathogens in fecal flora along the urogenital tract and by reemergence of bacteria from intracellular bacterial colonies in uroepithelial cells. In either mechanism, the same species that caused the initial infection is typically the reinfecting agent. 5
Escherichia coli causes approximately 75% of recurrent UTIs; most other infections are caused by Enterococcus faecalis, Proteus mirabilis, Klebsiella, or Staphylococcus saprophyticus. 1, 2, 5 This article addresses common questions about recurrent UTIs in otherwise healthy nonpregnant women. What Are the Risk Factors for Recurrent UTIs? Jump to section +
Abstract
What Are the Risk Factors for Recurrent UTIs? Is Susceptibility to Recurrent UTIs Inherited? When Is Further Clinical Evaluation Recommended?