how to PREVENT recurrent urinary tract infections

Women will ask how to PREVENT recurrent urinary tract infections. Prevention makes sense for women who have 3 UTIs a year OR 2 in six months.

Recommend a low-dose antibiotic for prevention, such as half a TMP/SMX single-strength tab...trimethoprim 100 mg...nitrofurantoin 50 or 100 mg...or low-dose cephalexin or a quinolone, if needed.

Discourage using nitrofurantoin for longer than 6 months...or if creatinine clearance is less than 60 mL/min.

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