In this episode of the Primary Care Knowledge Boost Podcast Doctors Lisa and Sara talk with Ian Pearce, Consultant Urologist at Manchester Royal Infirmary, about recurrent urinary tract infections (UTIs) in non-pregnant women.
They discuss what UTIs are, and what makes them recurrent vs relapsing. They also chat through how to assess someone with recurrent UTIs and highlight some of the risk factors, before talking about the red flags for more sinister causes.
The management options for recurrent UTIs are also covered, from conservative options to medications, including a detailed dive into antibiotic prophylaxis. They also get Ian’s opinions on who to refer to urology.
Listen to the podcast episode at https://bit.ly/recurrent-utis.
Useful resources:
- Conservative management tips: Bladder and Bowel Community UK: https://www.bladderandbowel.org/bladder/bladder-treatments/urinary-tract-infection-treatments/
- NICE Recurrent UTI Guidelines (Published Oct 2018): https://www.nice.org.uk/guidance/ng112
- Guidelines in Practice: The diagnosis and management of uncomplicated recurrent urinary tract infection (March 2019): https://www.guidelines.co.uk/urology/uncomplicated-recurrent-uti-guideline/454623.article
- GMMMG Antibiotic Prescribing Guidelines (last updated Oct 2021): https://gmmmg.nhs.uk/wp-content/uploads/2021/10/GM-Antimicrobial-guidelines-OCT-2021-v10.0.pdf
- BMJ article: Methenamine hippurate for recurrent urinary tract infections, published on 9/3/22 (after episode was recorded): https://www.bmj.com/content/376/bmj.o533
