Guidelines on Urological Infections. European Association of Urology. Accessed November 2, 2021. https://uroweb.org/guideline/urological-infections
Nicolle LE, Gupta K, Bradley SF, et al. Clinical Practice Guideline for the Management of Asymptomatic Bacteriuria: 2019 Update by the Infectious Diseases Society of America. Clin Infect Dis. 2019 May 2;68(10):e83-e110. doi: 10.1093/cid/ciy1121. PMID: 30895288.Gupta K, Hooton TM, Naber KG, et al; Infectious Diseases Society of America; European Society for Microbiology and Infectious Diseases. International clinical practice guidelines for the treatment of acute uncomplicated cystitis and pyelonephritis in women: A 2010 update by the Infectious Diseases Society of America and the European Society for Microbiology and Infectious Diseases. Clin Infect Dis. 2011 Mar 1;52(5):e103-20. doi: 10.1093/cid/ciq257. Review. PubMed PMID: 21292654.
Clinical Features And Diagnosis Top
Recurrent cystitis affects 10% to 20% of women without any risk factors for complicated urinary tract infection (UTI). Etiologic agents are the same as in uncomplicated sporadic cystitis. Reinfections are markedly more frequent than relapses. In some patients an evident relationship between sexual intercourses and subsequent episodes of UTI may be observed. When symptoms recur, obtain urine culture. Additional diagnostic tests (including imaging studies) are generally not recommended, unless risk factors for complicated UTI are suspected or rare uropathogens (eg, Proteus spp) are detected.
1. The same drugs may be used as in uncomplicated cystitis.
2. In some cases a recurrent UTI is actually a relapse. This occurs most frequently in patients in whom the previous episode of cystitis was accompanied by asymptomatic pyelonephritis that has not been successfully treated with a short course of antimicrobial therapy. In patients with a relapse of UTI, perform urine cultures and start empiric treatment with a different class of antibiotics until culture results are available.