Fast Five Quiz: Urinary Tract Infection

Michael Stuart Bronze, MD

Disclosures

July 23, 2019

According to clinical guidelines on recurrent, uncomplicated UTI in women released in May 2019 by the American Urological Association; Canadian Urological Association; and the Society of Urodynamics, Female Pelvic Medicine & Urogenital Reconstruction, asymptomatic bacteriuria should not be treated in women with recurrent UTI. Women presenting with recurrent lower UTIs should undergo a complete patient history and pelvic examination. Surveillance urine testing, including urine culture, is not recommended in asymptomatic patients with recurrent UTI.

The guidelines also state that a diagnosis of recurrent UTI must be based on documented positive urine culture results in association with prior symptomatic episodes. An initial urine specimen that may be contaminated should prompt a repeat urine study; collection of a catheterized specimen should be considered. Index patients presenting with recurrent UTI should not routinely undergo upper tract imaging and cystoscopy. Before beginning treatment in patients with recurrent UTI, urinalysis, urine culture, and sensitivity should be performed for each symptomatic acute cystitis episode.

Read more about these clinical practice guidelines.

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