Journal article

Publication year: 2022

Pages: 1140-1144

Journal: Deutsche Medizinische Wochenschrift

Volume number: 147

Issue number: 17

ISSN: 0012-0472

eISSN: 1439-4413

DOI Link: https://doi.org/10.1055/a-1866-9470

Publisher: Georg Thieme Verlag

Abstract: 
Urinary tract infections are among the most common bacterial infections. A significant proportion of urinary tract infections recur, which leads to impairments in patients' physical intimacy, social contacts and ability to work. The standardised ACSS questionnaire can provide help in establishing a diagnosis and assessing the course of the disease. In addition to general education and counselling on risk factors for urinary tract infections, non-antibiotic treatment options are particularly important for reducing recurrence. This aims to prevent the development of resistance to antibiotics and their undesirable side-effects. Non-antibiotic strategies most notably include personal counselling with communication of behavioural recommendations, immunoprophylaxis, phytotherapeutics and local oestrogen substitution. However, in cases of high patient suffering, antibiotic prophylaxis should also be considered after due deliberation. In summary, individual counselling should take place and treatment should be given in a multimodal therapeutic approach.

Harvard Citation style: Klussmann, D. and Wagenlehner, F. (2022) What to do about recurrent urinary tract infections, Deutsche Medizinische Wochenschrift, 147(17), pp. 1140-1144. https://doi.org/10.1055/a-1866-9470

APA Citation style: Klussmann, D., & Wagenlehner, F. (2022). What to do about recurrent urinary tract infections. Deutsche Medizinische Wochenschrift. 147(17), 1140-1144. https://doi.org/10.1055/a-1866-9470