Urinary Tract Infection ( UTI ) Recurrent : Antibiotic prophylaxis

Definition of recurrent UTI (rUTI ) -Adults - repeated UTI with a frequency♦ 2 or more UTIs in 6 months OR♦ 3 or more UTIs in 12 months ( EAU guideline 2017 ) Children and younger people under 16♦ 2 or more episodes of UTI with acute pyelonephritis / upper UTI OR♦ 1 episode UTI episode with acute pyelonephritis plus 1 or more episode of UTI with cystitis / lower UTI OR♦ 3 or more episodes of UTI with cystitis / lower UTI This guideline is for people without catheter Recurrent UTI includes○ lower UTI and○ upper UTI ie acute pyelonephritis rUTI may be due to ○ relapse ie same strain of organism○ reinfection - different strain or species rUTI is more common in women

UTI Trigger- NICE does not mention postcoital prophylaxis in this guidance but recognises that often women may be able to identify 1 or more triggers ( for eg sexual intercourse ) that often brings on a UTI. These triggers may vary Later in the guidance addressing the matter NICE says " ensure that any current UTI has been adequately treated then consider single-dose antibiotic prophylaxis for use when exposed to an identifiable trigger " If...