{"id":2484,"date":"2019-12-09T19:40:54","date_gmt":"2019-12-09T19:40:54","guid":{"rendered":"http:\/\/papergp.com\/?page_id=2484"},"modified":"2023-01-24T11:25:26","modified_gmt":"2023-01-24T11:25:26","slug":"recurrent-utis","status":"publish","type":"page","link":"https:\/\/papergp.com\/index.php\/others\/renal-and-urology\/recurrent-utis\/","title":{"rendered":"Recurrent UTIs"},"content":{"rendered":"\n<p>NB: Excludes pregnant patients<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Definition<ul><li>2 or more separate UTIs in 6 months<\/li><li>3 or more separate UTIs in 12 months <\/li><li><em>(Recurrence of a UTI within 2 weeks is a relapse and indicates treatment failure)<\/em><\/li><\/ul><\/li><\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Clinical management<\/h4>\n\n\n\n<ul class=\"wp-block-list\"><li>Urine <ul><li>Dipstick, MSU<\/li><\/ul><\/li><li>Bloods<ul><li>FBC, U+Es, TFTs, HbA1c<\/li><\/ul><\/li><li>USS KUB pre and post micturition<ul><li>If abnormal -> refer to urology<\/li><li>If normal -> see below<\/li><\/ul><\/li><\/ul>\n\n\n\n<ul class=\"wp-block-list\"><li>If normal investigations<ul><li>Step 1<ul><li>Patient information leaflet &#8211;  <a href=\"https:\/\/patient.info\/womens-health\/lower-urinary-tract-symptoms-in-women-luts\">https:\/\/patient.info\/womens-health\/lower-urinary-tract-symptoms-in-women-luts<\/a> <\/li><li>Lifestyle advice &#8211; reduce caffeine, vaginal lubricants, weight loss, stop smoking<\/li><\/ul><\/li><li>Step 2<ul><li>Consider prophylactic antibiotic<ul><li>Nitrofurantoin 100mg MR nocte &#8211; beware pulmonary reactions<\/li><li>Ciprofloxacin 500mg OD<\/li><li>Trimethorim 100mg nocte<\/li><\/ul><\/li><li>Methenamine hippurate 1g BD<\/li><li>Consider post-coital antibiotics<ul><li>Nitrofurantoin 100mg stat<\/li><li>Ciprofloxacin 500mg stat<\/li><li>Trimethoprim 100mg stat<\/li><\/ul><\/li><\/ul><\/li><li>Step 3<ul><li>If no response after 3-6 months, refer to urology<\/li><\/ul><\/li><\/ul><\/li><\/ul>\n\n\n\n<pre class=\"wp-block-preformatted\">Reference\n<a href=\"https:\/\/gps.camdenccg.nhs.uk\/cdn\/serve\/pathway-downloads\/1521624654-8acbe171433db4da0c35c6a31a83f930.pdf\">https:\/\/gps.camdenccg.nhs.uk\/cdn\/serve\/pathway-downloads\/1521624654-8acbe171433db4da0c35c6a31a83f930.pdf<\/a> <\/pre>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>NB: Excludes pregnant patients Definition 2 or more separate UTIs in 6 months 3 or more separate UTIs in 12 months (Recurrence of a UTI within 2 weeks is a relapse and indicates treatment failure) Clinical management Urine Dipstick, MSU Bloods FBC, U+Es, TFTs, HbA1c USS KUB pre and post micturition If abnormal -> refer &hellip; <a href=\"https:\/\/papergp.com\/index.php\/others\/renal-and-urology\/recurrent-utis\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Recurrent UTIs<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":2306,"menu_order":190,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-2484","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/2484","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/comments?post=2484"}],"version-history":[{"count":1,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/2484\/revisions"}],"predecessor-version":[{"id":2485,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/2484\/revisions\/2485"}],"up":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/2306"}],"wp:attachment":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/media?parent=2484"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}