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Abstract
Urinary tract infection is a common clinical entity, with a high prevalence worldwide and that involves a high financial cost to health systems. This disease occurs more frequently in women, and 50-80% of women in the general population are known to get at least one urinary tract infection in their whole life. In addition, the average of recurrence in women is 2.6 urinary infections per year, which makes the knowledge about the therapeutic strategies available for the management and prevention of these infections of the utmost importance. There are several therapies with high evidence for the prevention of recurrence of urinary tract infections, among these are continuous and postcoital antibiotic prophylaxis, oral vaccination and vaginal estrogen replacement in postmenopausal women. The collateral damage produced by antibiotic therapy and the appearance of growing problems such as antibiotic resistance must always be taken into account, this has generated new studies of non-antibiotic alternatives for the treatment and prophylaxis of recurrent urinary infections. While some results from these studies are promising, evidence is still lacking to make a firm recommendation on them. The objective of this article is to review recurrent urinary tract infection in women, considering its epidemiology, pathogenesis, treatment and prevention of recurrence, emphasizing this last two points.
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References
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