CLINICAL REVIEW. Management of recurrent urinary tract infection. By Ilias Giarenis and Andrea Braga

Recurrent lower urinary tract infection (rUTI) is defined as three or more episodes of UTI during a 12-month period, or two infections in a six-month period. Recurrent UTI may be due to relapse of the original organism and implies treatment failure or to reinfection with the same or different organism, with the latter being much more common. The woman’s lifetime risk of at least one UTI is around 50 per cent. In a study involving college students with their first UTI, 27 per cent had at least one culture-confirmed recurrence within the six months following the initial infection, and 2.7 per cent had a second recurrence over the same period…

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