N39.0
DESCRIPTION
Recurrence of a UTI >3 times within a one-year period.
Send urine for microscopy, culture and sensitivity as treatment is determined by the results.
GENERAL MEASURES
Women should void soon after intercourse.
Identify and treat hormone-deficient atrophic vulvo-vaginitis in the elderly.
MEDICINE TREATMENT
Prophylaxis (Z29.9)
To reduce risk of recurrence in patients with >3 infections/year requires continuous prophylaxis for 6 months:
- Cotrimoxazole 80/400 mg, oral, 1 tablet at night.
Treatment
Treat according to microscopy, culture and sensitivity.
REFERRAL/CONSULTATION
- Failure to respond to prophylactic treatment.
- Uncertain diagnosis.
- Recurrent infections where no facilities exist for adequate culture of urine.
- All complicated recurrent UTIs.
- STI pathogens.