Abstract:Recurrent urinary tract infections most often present with symptoms of irritative voiding. In most cases, they are caused by reinfection with a previously isolated organism. Patients with one or more symptoms of uncomplicated recurrent urinary tract infection should undergo thorough examination and screening for underlying comorbidities that increase susceptibility. When frequent reinfections, empiric treatment relapse, persistent infections, or risk factors for complicated infections are encountered, patients… Show more
“…5 Moreover, we could not diagnose recurrent UTI; in fact, we could not establish if UTI was caused by reinfection with previously isolated organism. 32 …”
In a large sample of elderly patients hospitalized for UTIs in a single center in northeastern Italy, apart the development of sepsis, IHM was much more dependent on pathogen and female gender than comorbidity index and age.
“…5 Moreover, we could not diagnose recurrent UTI; in fact, we could not establish if UTI was caused by reinfection with previously isolated organism. 32 …”
In a large sample of elderly patients hospitalized for UTIs in a single center in northeastern Italy, apart the development of sepsis, IHM was much more dependent on pathogen and female gender than comorbidity index and age.
“…The treatment of females who suffer from recurrent febrile UTIs, but do not show VUR on standard VCUG, is controversial, and different algorithms for the evaluation, prophylaxis and therapy of recurrent UTIs in women appear in the current literature [8,9]. Occult VUR has to be assumed as the most probable aetiology and can be suspected in the presence of concomitant renal scarring or abnormal ureteral orifices on cystoscopy.…”
Injection of bulking agent seems to be a suitable treatment for occult VUR in females to prevent further febrile UTIs. Patients with occult VUR should undergo a careful evaluation of possible urodynamic disorders such as dysfunctional voiding. These findings should be studied in prospective trials before drawing any conclusions.
“…Urinary tract infection (UTI) is a common clinical problem that often recurs, leading to the institution of preventive measures for recurrent UTI (rUTI) 1 2. Antimicrobial prophylaxis is highly effective, but risks adverse effects and induction of resistance 1 2.…”
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