Recurrent urinary tract infection pathway

Background

The Modernising Patient Pathway Urology Speciality Delivery Group has been established to support and look at new innovative ways to develop delivering urology services across NHS Scotland.

Through development of Once for Scotland approaches for delivery of care, focus is being placed on looking at opportunities to develop clinical pathways to reduce unwarranted variation in delivery of quality healthcare and to sustainably improve waiting times for non-urgent care within urology services. Speciality Delivery Groups have been established to engage and fully utilise the role of clinical leadership across NHS Scotland.

This pathway is aimed at women who were born female. Transgender women retain the prostate and therefore any issues with bladder outlet would require to be managed the same way as men who were born male.

Pathway recommendations

Colour key for pathway:

Blue - primary care

Green - secondary care

Click the image below to view the recurrent urinary tract infection pathway.

Glossary:

Abbreviation	Meaning
UTI	Urinary Tract Infection
USS	Ultrasound Scan
MSSU	Mid Stream Specimen Urine
ISC	Intermittent Self-Catheterisation
LUTS	Lower Urinary Tract Symptoms

References

European Association of Urology (EAU) Guideline on Urological Infections. Available from https://uroweb.org/guidelines/urological-infections#3.

NICE guideline (NG112). Urinary Tract Infection (Recurrent): Antimicrobial Prescribing. Published 31 October 2018. Updated 12 December 2024. Available from https://www.nice.org.uk/guidance/ng112/resources/urinary-tract-infection-recurrent-antimicrobial-prescribing-pdf-66141595059397.

Hayward G, Mort S, Hay AD, et al. d-Mannose for Prevention of Recurrent Urinary Tract Infection Among Women: A Randomized Clinical Trial. JAMA Intern Med. 2024;184(6):619–628. doi:10.1001/jamainternmed.2024.0264.

gjnh.cfsdpmo@gjnh.scot.nhs.uk

www.nhscfsd.co.uk

@NHSScotCfSD

Centre for Sustainable Delivery

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