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Review
. 2024 Jun;38(2):325-341.
doi: 10.1016/j.idc.2024.03.010. Epub 2024 Apr 10.

Recurrent UTI in Women-Risk Factors and Management

Jacob E Lazarus  1 , Kalpana Gupta  2
Affiliations
Review

Recurrent UTI in Women-Risk Factors and Management

Jacob E Lazarus et al. Infect Dis Clin North Am. 2024 Jun.

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.

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Conflict of interest statement

Disclosure J.E. Lazarus has served as a consultant for LUCA Biologics in the past. K. Gupta has served as a consultant for GSK, Iterum Therapeutics, Utility Therapeutics, Qiagen Diagnostics on UTI topics, recieves royalties from UpToDate on UTI topics; and is an uncompensated co-author of the IDSA Guidelines on UTI.

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