Treatment of Recurrent Urinary Tract Infection in Neurogenic Bladder Patients on Clean Intermittent Catheterization
Clinical Scenario
This protocol addresses the specific population of patients with neurogenic lower urinary tract dysfunction who perform clean intermittent catheterization and experience recurrent urinary tract infections.
Management Approach
Prophylactic antimicrobial therapy may be considered to reduce the frequency of urinary tract infections in this population, with shared decision-making around antibiotic resistance risk forming an integral part of the discussion. The full regimen, additional options, and clinical decision pathway are in the complete protocol.
References
- In NLUTD patients who perform clean intermittent catheterization with recurrent urinary tract infection, clinicians may offer oral antimicrobial prophylaxis to reduce the rate of urinary tract infections following shared decision-making and discussion regarding increased risk of antibiotic resistance.