PROFESSIONAL FAQS: WHICH ANTIBIOTIC REGIMENS ARE APPROPRIATE FOR RECURRENT UTI?

Expert opinion from Marcelle Freire

Doctor of Medicine · 3 years of experience · Brazil

Urinary tract infection, or simply urinary tract infection, is an infection, usually bacterial, that can affect any part of the urinary tract, from the bladder to the kidneys. In a simplified way, when we say that someone has a urinary infection we are referring to cystitis, which is the infection, usually bacterial, of the bladder. Most patients who develop a urinary tract infection are quickly cured with the use of antibiotics. Some patients, for several reasons, can develop what we call a recurrent urinary tract infection, which is a urinary tract infection that occurs on a recurring basis, causing problems about 3 to 4 times, or more, a year. This recurrence deserves to be investigated to determine if there is a specific cause that is predisposing to infection. Some of these cases can occur during sexual intercourse with new partners, urinary incontinence and even a genetic predisposition to be colonized by certain pathogens. Antibiotic prophylaxis can be indicated in selected cases, with different antimicrobial regimens (daily, weekly, or even every 10 days) and it is necessary to perform a urine culture to prevent bacterial resistance and choose the appropriate antimicrobial. Increasing fluid intake, urinating after intercourse and good hygiene are always recommended.

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Expert opinion from Howard E. Lewine

M.D. Chief Medical Editor, Harvard Health Publishing · 40 years of experience · USA

To properly treat a urinary tract infection (UTI) that has recurred, it’s best to choose an antibiotic based on a urine culture result that identifies the specific bacteria causing the UTI and provides a list of the most effective antibiotics. Regarding prevention of recurrent UTIs, non-antibiotic strategies should be tried first because frequent use of antibiotics leads to the emergence of resistant bacterial strains. For women, wiping front to back in the bathroom and emptying the bladder immediately after sex can be helpful

Expert opinion from J Vinay Reddy

MBBS · 4.5 years of experience · India

Finding out the etiology in single episode or recurrent UTI's is important. The antibiotic regimen can be decided after a urine culture to find out the offending bacteria and it's drug sensitivity test. Usually Nitrofurantoin, Trimethoprim /sulfamethoxazole and other broad spectrum antibiotics. Ruling out various STD's, which cause UTI's, is also important to treat accordingly.

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Disclaimer: This is for information purpose only, and should not be considered as a substitute for medical expertise. These are opinions from an external panel of individual doctors, and not to be considered as opinion of Microsoft. Please seek professional help regarding any health conditions or concerns.

2024-07-09T17:07:50Z dg43tfdfdgfd