UTIs

Question 1

What is cystitis?

Answer 1

A UTI which has spread to the bladder.

Question 2

What are some referral points for UTIs?

Answer 2

First time
Man, child, pregnant, elderly/frail
UTI after surgery
Severe symptoms such as lower stomach or back pain, just under the ribs
Persistent symptoms after antibiotics.
Symptoms don’t improve within 2-3 days.
Fever and/or shivering
Temp <36C
Blood in urine
Drowsiness and confusion
Recurring

Question 3

OTC UTI/cystitis treatment

Answer 3

Paracetamol/Ibuprofen

Sodium citrate products - alkaline/reduces acidity of urine to prevent burning when urinating. TDS for 2 days. Avoid if kidney disease, diabetes, or low sodium diet.

Question 4

OTC recurrent UTI prevention

Answer 4

D-mannose products - sugar which coats bacteria to prevent it attaching to uroepithelial cells. Avoid in pregnancy and diabetes.

Cranberry capsules, sachets, or juice - avoid in warfarin. Ensure sugar free. Avoid in warfarin (increased serum warfarin) and aspirin, as well as other blood thinners.

Question 5

UTI lifestyle advice

Answer 5

• Wipe from front to back
• Drink plenty of fluids and particularly water
• Wash and wee after sex
• Don’t hold your wee
• Fully empty your bladder when you go to the toilet.
• Avoid sugary food or drinks as it can encourage bacterial growth.
• Avoid coffee and alcohol as can be dehydrating.