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Recurrent Urinary Tract Infections in Women: Etiology, Risk Factors, and Prevention Strategies

Vol. 3 No. 10 (2025): International Journal of Integrative and Modern Medicine:

Bobomurod X. Xoldorov (1), Khabibullo N. Kodirov (2)

(1) Andijan State Medical Institute Assistant of the Department of Outpatient and Polyclinic Therapy, Uzbekistan
(2) Andijan State Medical Institute Assistant of the Department of Outpatient and Polyclinic Therapy, Uzbekistan
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Abstract:

Over 150 million instances of urinary tract infections (UTIs) are recorded each year, making it one of the most common bacterial illnesses affecting women globally. Infections that climb from the urethra to the bladder and, in extreme situations, to the kidneys are the main cause of them. Escherichia coli is the primary causative agent, accounting for around 70–80% of infections. Pseudomonas aeruginosa, Proteus mirabilis, Klebsiella pneumoniae, and Staphylococcus saprophyticus are additional pathogens. Asymptomatic bacteriuria, pyelonephritis, cystitis, and complex or uncomplicated types are all included in the categorization of UTIs.


Inflammation, colonization, and bacterial attachment to uroepithelial cells are all part of the pathophysiology. Female anatomy, sexual behavior, pregnancy, postmenopausal changes, and the use of catheters or spermicides are risk factors. Clinical symptoms (dysuria, frequency, and suprapubic discomfort) are used to make the diagnosis, which is then supported by laboratory results from urinalysis, urine culture, and imaging if required. In addition to hydration, anti-inflammatory drugs, and, in certain situations, herbal therapies, treatment entails antibiotic medication customized to the pathogen and resistance profile that have been established. Recurrence is greatly decreased by preventive measures such frequent urine, proper hydration intake, and hygiene education. Preventing problems like pyelonephritis and kidney scarring requires prompt diagnosis and customized therapy.

References

1. Foxman B. Epidemiology of urinary tract infections: incidence, morbidity, and economic costs. Am J Med. 2002;113 Suppl 1A:5S–13S.

2. Stamm WE, Norrby SR. Urinary tract infections: disease panorama and challenges. J Infect Dis. 2001;183(Suppl 1):S1–S4.

3. Flores-Mireles AL, et al. Urinary tract infections: epidemiology, mechanisms of infection, and treatment options. Nat Rev Microbiol. 2015;13:269–284.

4. Hooton TM. Recurrent urinary tract infection in women. Int J Antimicrob Agents. 2001;17:259–268.

5. Wiles TJ, et al. Origins and virulence mechanisms of uropathogenic Escherichia coli. Exp Mol Pathol. 2008;85:1–10.

6. Raz R, Stamm WE. A controlled trial of intravaginal estriol in postmenopausal women with recurrent urinary tract infections. N Engl J Med. 1993;329:753–756.

7. Nicolle LE. Urinary tract infection in special populations: diabetes, pregnancy, and postmenopausal women. Infect Dis Clin North Am. 2003;17:509–525.

8. Johnson JR, Russo TA. Acute pyelonephritis in adults. N Engl J Med. 1987;317:110–119.

9. Gupta K, et al. Clinical practice guidelines for the treatment of acute uncomplicated cystitis and pyelonephritis in women. Clin Infect Dis. 2011;52:e103–e120.

10. Hooton TM, et al. Diagnosis, prevention, and treatment of catheter-associated urinary tract infection in adults: 2009 International Guidelines. Clin Infect Dis. 2010;50:625–663.

11. Bonkat G, et al. EAU Guidelines on Urological Infections. European Association of Urology. 2024.

12. Jepson RG, et al. Cranberries for preventing urinary tract infections. Cochrane Database Syst Rev. 2012;10:CD001321.

13. Beerepoot MAJ, Geerlings SE. Cranberries and recurrent urinary tract infections: evidence-based review. Curr Opin Infect Dis. 2016;29:85–91.

14. Smaill F, Vazquez JC. Antibiotics for asymptomatic bacteriuria in pregnancy. Cochrane Database Syst Rev. 2015;8:CD000490.

15. Foxman B. Recurring urinary tract infection: incidence and risk factors. Am J Public Health. 1990;80:331–333.