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Guidelines for Recurrent Urinary Tract Infections in Adults: Antibiotic Prophylaxis Definition The symptoms of a lower urinary tract infection include: frequency, dysuria, urgency and suprapubic pain. Recurrent lower urinary tract infection (rUTI) is defined as: 2 or more episodes of lower urinary tract infection in the last 6 months, or.

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A UTI may be recurrent when it follows the complete clinical resolution of a previous UTI. 8 A threshold of 3 UTIs in 12 months is used to signify recurrent UTI. 3 The pathogenesis of recurrent UTI involves bacterial reinfection or bacterial persistence, with the former being much more common. 8 In bacterial persistence, the same bacteria may be cultured in the urine 2 weeks after initiating sensitivity-adjusted .

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Pfau A, Sacks T, Engelstein D. Recurrent urinary tract infections in premenopausal women: prophylaxis based on an understanding of the pathogenesis. J Urol ; Pfau A, Sacks TG. Effective prophylaxis of recurrent urinary tract infections in premenopausal women by postcoital administration of cephalexin. J Urol ; Older men and women are commonly prescribed long-term antibiotics to prevent recurrent urinary tract infection (UTI).1 2 Antibiotic use is a key driver of antibiotic resistance.3 Therefore, antibiotic use must be justified by robust evidence, where the estimated benefit outweighs estimated harm.
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Recurrent urinary tract infections (UTIs) are common in women and associated with considerable morbidity and health care use. The clinical features, diagnostic testing, and causative organisms are.

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