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. 2019 Oct 28;19:901. doi: 10.1186/s12879-019-4541-y
Recommendations Strength rating
• Diagnose recurrent UTI by urine culture. Strong
• Do not perform an extensive routine workup (e.g cystoscopy, full abdominal ultrasound) in women younger than 40 years of age with recurrent UTI and no risk factors. Weak
• Advise patients on behavioural modifications which might reduce the risk of recurrent UTI. Weak
• Use vaginal oestrogen replacement in post-menopausal women to prevent recurrent UTI. Weak
• Use immunoactive prophylaxis to reduce recurrent UTI in all age groups. Strong
• Use continuous or post-coital antimicrobial prophylaxis to prevent recurrent UTI when non-antimicrobial interventions have failed. Counsel patients regarding possible side effects. Strong
• For patients with good compliance self-administered short-term antimicrobial therapy should be considered. Strong