Recurrent UTI in non-pregnant Women ≥ 3 UTIs/year

Recurrent UTI in nonpregnant women ≥ 3 UTIs/year

SAPG Management  of recurrent lower UTI in non –pregnant women

https://www.scottishmedicines.org.uk/files/sapg1/Management_of_recurrent_lower_UTI_in_non-pregnant_women.pdf

 

First line: Advise simple measures, incl. hydration & analgesia. Cranberry products work for some women, but good evidence is lacking.

Second line: Standby or post-coital antibiotics.

Third line: Antibiotic prophylaxis. 

First line: If recent culture sensitive Trimethoprim

100mg

Post coital stat dose (off-label)

Prophylaxis OD at night review at 3-6 months. 

or Nitrofurantoin

100mg MR

Post coital stat (off-label)

Prophylaxis OD at night review at 3-6 months. NHSL logo 8.