Can a Silent Kidney Infection or Genetic Predisposition Underlie Recurrent UTIs?

, University of Calgary and Alberta Children's Hospital


Medscape General Medicine. 1996;1(1) 

In This Article


Although acute uncomplicated UTIs in women are a very common condition, medical management of these women remains unstandardized. Women who suffer from this problem can assist their physician in appropriately managing recurrent episodes of infection by keeping a diary thatdocuments their entire UTI history from the initial episode. The diary should include the date of onset of symptoms; a symptom list; the results of all laboratory tests including the urinalysis, urine dipstick tests, urine culture, and antibiotic susceptibility results; and the antibiotics treatment prescribed, includingthe drug, dose, and duration of therapy. Finally, women with recurrent E coli infections should be allowed to control their treatment by the empiric self-prescription of short courses of antibiotics at the onset of symptoms. Owing to the high incidence of secondary vaginal candidiasis that occurs with broad-spectrumantibiotic use, women should also be given prescriptions for antifungal medication, which they can refill as necessary. These measures should help women to avoid the inconvenience of frequent visits to the physician's office, medical clinic, or emergency department when episodes occur after daytime hours and on weekends.