Recurrent urinary tract infections in adults: a practical guide

Br J Hosp Med (Lond). 2021 Dec 2;82(12):1-11. doi: 10.12968/hmed.2021.0337. Epub 2021 Dec 20.


Recurrent urinary tract infections are a common problem faced by clinicians across many specialities. For the patient, recurrent urinary tract infections can be burdensome and detrimental to their quality of life. For the clinician, they can be challenging to manage, and the socioeconomic burden on healthcare systems can also be substantial. Investigations serve to rule out any underlying structural or pathological abnormalities. In conjunction with behavioural prevention methods, treatment strategies include antibiotic and non-antibiotic approaches and holistic management approaches. This article provides an overview of the investigation and treatment of urinary tract infections and includes algorithms which can be used in daily clinical practice.

Keywords: Infection; Recurrence; Urinary tract infection.

Publication types

  • Review

MeSH terms

  • Adult
  • Anti-Bacterial Agents / therapeutic use
  • Humans
  • Quality of Life*
  • Recurrence
  • Urinary Tract Infections* / diagnosis
  • Urinary Tract Infections* / epidemiology
  • Urinary Tract Infections* / prevention & control


  • Anti-Bacterial Agents