UTI Treatment Options for Special Patient Populations

Drs Anne Lenore Ackerman and Nazema Siddiqui discuss special patient populations and exceptions to the rules for UTI treatment.

Relevant disclosures can be found with the episode show notes on Medscape https://www.medscape.com/ca8/p04/podcast-uti-s1-ep5-2026a1000hdl. The topics and discussions are planned, produced, and reviewed independently of advertisers. This podcast is intended only for US healthcare professionals.

Resources

Urinary Tract Infection (UTI) and Cystitis (Bladder Infection) in Females https://emedicine.medscape.com/article/233101-overview

Clinical Practice Guideline by Infectious Diseases Society of America (IDSA): 2025 Guideline on Management and Treatment of Complicated Urinary Tract Infections: Introduction and Methods https://pubmed.ncbi.nlm.nih.gov/41467387/

The Human Urinary Microbiome and Its Potential Role in Urinary Tract Infections https://pubmed.ncbi.nlm.nih.gov/39827037/

Vulvovaginal Estrogen Therapy for Urinary Symptoms in Postmenopausal Women: A Review and Meta-analysis https://pubmed.ncbi.nlm.nih.gov/40569036/

Vaginal Estrogen Therapy for Treatment of Menopausal Genitourinary Syndrome Among Breast Cancer Survivors: A Systematic Review and Meta-analysis https://pubmed.ncbi.nlm.nih.gov/40673012/

Diagnostic Stewardship for Urine Cultures https://pubmed.ncbi.nlm.nih.gov/38575490/

The AUA/SUFU Guideline on the Diagnosis and Treatment of Idiopathic Overactive Bladder https://pubmed.ncbi.nlm.nih.gov/38651651/

The AUA/SUFU/AUGS Guideline on Genitourinary Syndrome of Menopause https://pubmed.ncbi.nlm.nih.gov/40298120/

Proposing the "Continuum of UTI" for a Nuanced Approach to Diagnosis and Management of Urinary Tract Infections https://pubmed.ncbi.nlm.nih.gov/38330392/

The Urinary Microbiome in Postmenopausal Women With Recurrent Urinary Tract Infections https://pubmed.ncbi.nlm.nih.gov/34181466/

Effectiveness of Prophylactic Oral and/or Vaginal Probiotic Supplementation in the Prevention of Recurrent Urinary Tract Infections: A Randomized, Double-Blind, Placebo-Controlled Trial https://pubmed.ncbi.nlm.nih.gov/38084984/

Review of Non-Antibiotic Treatment and Prevention of Recurrent UTIs — A Summary of Current Guidance and Suggested Treatment Algorithm https://pubmed.ncbi.nlm.nih.gov/41267888/

A One-Year Multicenter Study of Efficacy and Safety of a Continuous, Low-Dose, Estradiol-Releasing Vaginal Ring (Estring) in Postmenopausal Women With Symptoms and Signs of Urogenital Aging https://pubmed.ncbi.nlm.nih.gov/8572039/

Effectiveness of Methenamine Hippurate in Preventing Urinary Tract Infections: An Updated Systematic Review, Meta-analysis and Trial Sequential Analysis of Randomized Controlled Trials https://pubmed.ncbi.nlm.nih.gov/39955521/

Gentamicin Bladder Instillations Decrease Symptomatic Urinary Tract Infections in Neurogenic Bladder Patients on Intermittent Catheterization https://pubmed.ncbi.nlm.nih.gov/29382457/

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