Page 27 - Recurrent uncomplicated urinary tract infections in women: AUA/CUA/SUFU guideline
P. 27
27
American Urological Association (AUA)/Canadian Urological Association (CUA)/ Recurrent Uncomplicated
Society of Urodynamics, Female Pelvic Medicine & Urogenital Reconstruction (SUFU) Urinary Tract Infection
We must also expand our perspective of rUTI to include 1028.
prevention. There currently exists an NIH-funded 11. Bent S, Nallamothu BK, Simel DL et al: Does this
research consortium addressing this mission- the woman have an acute uncomplicated urinary tract
Prevention of Lower Urinary Tract Symptoms (PLUS) infection? JAMA 2002; 287; 2701.
Research Consortium. 206 The PLUS consortium is 12. Juthani-Mehta M, Quagliarello V, Perrelli E et al:
dedicated to promoting prevention of LUTS (including Clincial features to identify urinary tract infection
UTIs) across the woman’s life spectrum, including UTIs, in nursing home residents: a cohort study. J Am
utilizing a socioecologic construct. 207 Critical to these Geriatr Soc 2009; 57; 963.
investigative efforts is the discovery of methods to 13. Medina-Bombardo D, Segui-Diaz M, Roca-Fusalba
suppress symptoms without use of antibiotics and C et al: What is the predictive value of urinary
symptoms for diagnosing urinary tract infection in
direct studies that support a broader view of rUTI from women? Fam Pract 2003; 20; 103.
the host-pathogen perspective. The PLUS consortium
also seeks to identify modifiable risk factors for acute 14. Mody L and Juthani-Mehta M: Urinary tract
infections in older women: a clinical review. JAMA
cystitis which can be tested in a prospective prevention 2014; 311; 844.
trial. Through multiple efforts, which include identifying 15. Boscia JA, Kobasa WD, Abrutyn E et al: Lack of
modifiable socioecological risk factors, understanding association between bacteriuria and symptoms in
host responses involved in UTI and understanding the elderly. Am J Med 1986; 81; 979.
pathogen virulence factors, we will discover new 16. Stone ND, Ashraf MS, Calder J et al: Surveillance
methods in diagnosis and treatment of rUTI. definitions of infections in long-term care
facilities: revisiting the McGeer criteria. Infect
REFERENCES Control Hosp Epidemiol 2012; 33: 965.
1. Paterson DL: “Collateral damage” from 17. High KP, Bradley SF, Gravenstein S et al: Clinical
cephalosporin or quinolone antibiotic therapy. Clin practice guideline for the evaluation of fever and
Infect Dis 2004; 38: S341. infection in older adult residents of long-term
2. Wagenlehner F, Wullt B, Ballarini S et al: Social care facilities: 2008 update by the Infectious
Disease Society of America. J Am Geriatr Soc
and economic burden of recurrent urinary tract
infections and quality of life: a patient web-based 2009; 57: 375.
study (GESPRIT). Expert Rev Pharmacoecon 18. Loeb M, Bentley DW, Bradley S et al:
Outcomes Res 2018; 18: 107. Development of minimum criteria for the initiation
3. Foxman B: Urinary tract infection syndromes: of antibiotics in residents of long-term care
facilities: results of a consensus conference.
occurrence, recurrence, bacteriology, risk factors, Infect Control Hosp Epidemiol 2001; 22: 120.
and disease burden. Infect Dis Clin North Am
2014; 28: 1. 19. AGS Choosing Wisely Workgroup: American
Geriatrics Society identifies another five things
4. Geerlings SE: Clinical presentations and that healthcare providers and patients should
epidemiology of urinary tract infections. Microbiol question. J Am Geriatr Soc 2014; 62: 950
Spectr 2016; 4.
20. Behzadi P, Behzadi E, Yazdanbod H et al: A
5. Gupta K, Trautner BW: Diagnosis and
management of recurrent urinary tract infections survey on urinarty tract infections associated with
the three most common uropathogenic bacteria.
in non-pregnant women. BMJ 2013; 346: f3140.
Maedica (Buchar) 2010; 5: 111.
6. Foxman B: Epidemiology of urinary tract 21. Colgan R, Williams M: Diagnosis and treatment of
infections: incidence, morbidity, and economic acute uncomplicated cystitis. Am Fam Physician
costs. Am J Med 2002; 113: 5S.
2011; 84: 771.
7. Dason S, Dason JT, Kapoor A: Guidelines for the 22. Hilt EE, McKinley K, Pearce MM et al: Urine is not
diagnosis and management of recurrent urinary sterile: use of enhanced urine culture techniques
tract infection in women. Can Urol Assoc J 2011;
5: 316. to detect resident bacterial flora in the adult
female bladder. J Clin Microbiol 2014; 52: 871.
8. Finucane TE: “Urinary Tract Infection" –requiem 23. Kass EH: Asymptomatic infections of the urinary
for a heavyweight. J Am Geriatr Soc 2017; 65: tract. Trans Assoc Am Physicians 1956; 69: 56.
1650.
24. Platt R: Quantitative definition of bacteriuria. Am
9. Malik RD, Wu YR, Zimmern PE: Definition of J Med 1983; 75: 44.
recurrent urinary tract infections in women: which
one to adopt? Female Pelvic Med Reconstr Surg 25. Pollock HM: Laboratory techniques for detection
2018; 24: 424. of urinary tract infection and assessment of
10. Hooton TM: Clinical practice. Uncomplicated value. Am J Med 1983; 75: 79.
urinary tract infections. N Engl J Med 2012; 366; 26. Sanford JP, Favour CB, Mao FH et al: Evaluation
Copyright © 2019 American Urological Association Education and Research, Inc.®
