Question

A 38-year-old woman with recurrent uncomplicated UTIs (≥3/year), culture-proven. Normal anatomy. Which prevention is recommended before chronic antibiotics?

Accepted Answer

Behavioral measures and vaginal estrogen if postmenopausal; consider patient-initiated therapy

Answer

Immediate indefinite daily fluoroquinolone prophylaxis

Answer

Urine alkalinization with sodium bicarbonate

Answer

Cranberry avoidance

Answer

Routine cystoscopy

Practice question

A 38-year-old woman with recurrent uncomplicated UTIs (≥3/year), culture-proven. Normal anatomy. Which prevention is recommended before chronic antibiotics?