GynaePulse
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Recurrent UTI

2 in 6 months or 3 in 12 months.

Source: NICE NG112
  • Behavioural and hygiene advice; D-mannose or cranberry as self-care.
  • Postmenopausal: vaginal oestrogen, review within 12 months.
  • Prophylaxis after a trigger: trimethoprim 200 mg or nitrofurantoin 100 mg single dose.
  • Daily prophylaxis: trimethoprim 100 mg or nitrofurantoin 50–100 mg at night; review every 6 months.
  • Methenamine hippurate 1 g twice daily is a non-antibiotic option.
A summary for trained clinicians. Always check the full guideline, the patient in front of you and your hospital's protocol. Spotted an error? Tell us.