Risk Factors of Urinary Tract Infection and Its Management: A Review Review Article
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Abstract
Urinary tract infection (UTI) is one of the most prevalent bacterial infections affecting individuals of all ages and genders, with a higher incidence among females due to anatomical and physiological factors. It involves infection of any part of the urinary system, including the urethra, bladder, ureters, and kidneys. Various risk factors, such as poor personal hygiene, sexual activity, urinary retention, and the use of urinary catheters, influence the development of UTI. In women, hormonal changes during pregnancy and menopause further increase susceptibility, while in men, prostatic enlargement may lead to urinary stasis. Underlying medical conditions such as diabetes mellitus, immunosuppression, and structural abnormalities of the urinary tract also predispose individuals to infection. The management of UTI involves both pharmacological and non-pharmacological approaches. Empirical antibiotic therapy is initiated based on clinical symptoms and later adjusted according to urine culture and sensitivity results. Commonly used antibiotics for uncomplicated cases include nitrofurantoin, trimethoprim-sulfamethoxazole, and fosfomycin, while fluoroquinolones or beta-lactam antibiotics are reserved for complicated infections. Supportive measures, including adequate hydration, good perineal hygiene, and avoidance of irritants, play a vital role in recovery and prevention of recurrence. In recurrent or complicated cases, addressing the underlying causes, prophylactic antibiotic therapy, and patient education are essential. Effective management and prevention of UTIs require early diagnosis, appropriate antimicrobial use and lifestyle modifications. Public awareness and adherence to preventive measures can significantly reduce the incidence and recurrence of UTIs, improving overall urinary health outcomes.
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1. Öztürk R, Murt AJ. Epidemiology of urological infections: A Global Burden. World J Urol. 2020; 38(11):2669-79.
2. Vasudevan R. Urinary tract infection: an overview of the infection and the associated risk factors. J Microbiol Exp. 2014;1(2):42-5.
3. Goldberg B, Jantausch B. Urinary tract infection. In: Trachtman H, Srivastava T, Herreshoff E, editors. Clinical Pediatric Nephrology. 4th ed. World Scientific; 2016. p. 983-1008.
4. Darouiche RO, Hull RA. Bacterial interference for prevention of urinary tract infection. Clin Infect Dis. 2012;55(10):1400-7.
5. Dielubanza EJ, Schaeffer AJ. Urinary tract infections in women. Med Clin North Am. 2011;95 (1):27-41.
6. Stapleton AE, Dziura J, Hooton TM. A randomized controlled trial. Mayo Clin Proc. 2012;87(2):143-56.
7. Taylor T. Anatomy of the urinary system. Inner Body J. 2014;5(2):16-8.
8. Mastura RR, Bain R, Moonwara M, Ferdaus F. Antibiotic Susceptibility Patterns in Recurrent Urinary Tract Infections among Young Females. Asia Pac J Surg Adv. 2025;2(2):93-8.
9. Kolawole AS, Kolawole OM, Kandaki-Olukemi YT, Babatunde SK, Durowade KA, Kolawole CF. Prevalence of urinary tract infections (UTI) among patients attending Dalhatu Araf Specialist Hospital, Lafia, Nasarawa State, Nigeria. Int J Med Med Sci. 2009;1(5):163-7.
10. Mandokhail F, Jamil N, Riaz M, Masood Z, Rizwan S, Tareen AM, et al. Prevalence of symptomatic and asymptomatic urinary tract infection in humans. World J Zool. 2015;10(4):310-312.
11. Stapleton AE, Dziura J, Hooton TM, Cox ME, Yarova-Yarovaya Y, Chen S, et al. Recurrent urinary tract infection and urinary Escherichia coli in women ingesting cranberry juice daily: a randomized controlled trial. Mayo Clin Proc. 2012;87(2):143-56.
12. Patterson TF, Andriole VT. Bacteriuria in pregnancy. Infect Dis Clin North Am. 1987;1(4):807-22.
13. Kodner CM, Gupton EK. Recurrent urinary tract infections in women: diagnosis and management. Am Fam Physician. 2010;82(6):638-43.
14. Fashemi BE, Wang C, Chappidi RR, Morsy H, Mysorekar IU. Supraphysiologic vaginal estrogen therapy in aged mice mitigates age-associated bladder inflammatory response to urinary tract infections. Urogynecology. 2023;29(4):430-42.
15. Wild S, Roglic G, Green A, Sicree R, King H. Global prevalence of diabetes: estimates for the year 2000 and projections for 2030. Diabetes Care. 2004;27(5):1047-53.
16. Goble NM, Clarke T, Hammonds JC. Histological changes in the urinary bladder secondary to urethral catheterization. Br J Urol. 1989;63(4):354-7.
17. Schaeffer AJ, Schwan WR, Hultgren SJ, Duncan JL. Relationship of type 1 pilus expression in Escherichia coli to ascending urinary tract infections in mice. Infect Immun. 1987;55(2):373-80.
18. Zaffanello M, Malerba G, Cataldi L, Antoniazzi F, Franchini M, Monti E, et al. Genetic risk for recurrent urinary tract infections in humans: a systematic review. Biomed Res Int. 2010;2010:321082.
19. Arinzon Z, Shabat S, Peisakh A, Berner Y. Clinical presentation of urinary tract infection (UTI) differs with aging in women. Arch Gerontol Geriatr. 2012;55(1):145-7.
20. Matuszkiewicz-Rowińska J, Małyszko J, Wieliczko M. Urinary tract infections in pregnancy: old and new unresolved diagnostic and therapeutic problems. Arch Med Sci. 2015;11(1):67-77.
21. Rukweka JM. Effectiveness of screening and treatment for asymptomatic bacteriuria in reducing preterm birth: a systematic review of randomized controlled trials. MOJ Immunol. 2018;6(5):243-9.
22. Linhares I, Raposo T, Rodrigues A, Almeida A. Frequency and antimicrobial resistance patterns of bacteria implicated in community urinary tract infections: a ten-year surveillance study (2000–2009). BMC Infect Dis. 2013;13:19.
23. Shaikh S, Fatima J, Shakil S, Rizvi SM, Kamal MA. Antibiotic resistance and extended spectrum beta-lactamases: Types, epidemiology and treatment. Saudi J Biol Sci. 2015;22(1):90-101.
24. Henquell C, Chanal C, Sirot D, Labia R, Sirot J. Molecular characterization of nine different types of mutants among 107 inhibitor-resistant TEM beta-lactamases from clinical isolates of Escherichia coli. Antimicrob Agents Chemother. 1995;39(2):427-30.
25. Mobley HL, Donnenberg MS, Hagan EC. Uropathogenic Escherichia coli. EcoSal Plus. 2009;3(2).
26. Sosa V, Schlapp G, Zunino P. Proteus mirabilis isolates of different origins do not show correlation with virulence attributes and can colonize the urinary tract of mice. Microbiology (Reading). 2006;152(Pt 7):2149-57.
27. Premasiri WR, Chen Y, Williamson PM, Bandarage DC, Pyles C, Ziegler LD. Rapid urinary tract infection diagnostics by surface-enhanced Raman spectroscopy (SERS): identification and antibiotic susceptibilities. Anal Bioanal Chem. 2017;409(12):3043-54.
28. Bixler D, Annambholta P, Abara WE, Collier MG, Jones J, Mixson-Hayden T, et al. Hepatitis B and C virus infections transmitted through organ transplantation investigated by CDC, United States, 2014-2017. Am J Transplant. 2019;19(9):2570-82.
29. Schmiemann G, Kniehl E, Gebhardt K, Matejczyk MM, Hummers-Pradier E. The diagnosis of urinary tract infection: a systematic review. Dtsch Arztebl Int. 2010;107(21):361-7.
30. Kumar MS, Ghosh S, Nayak S, Das AP. Recent advances in biosensor-based diagnosis of urinary tract infection. Biosens Bioelectron. 2016;80:497-510.
31. Jancel T, Dudas V. Management of uncomplicated urinary tract infections. West J Med. 2002;176(1):51-5.
32. Strich JR, Heil EL, Masur H. Considerations for Empiric Antimicrobial Therapy in Sepsis and Septic Shock in an Era of Antimicrobial Resistance. J Infect Dis. 2020;222(Suppl 2):S119-S131.
33. Nicolle LE, AMMI Canada Guidelines Committee*. Complicated urinary tract infection in adults. Can J Infect Dis Med Microbiol. 2005;16(6):349-60.
34. Hamour, El-Mekkawy, R., Hassanien, W. A. G., & Allam, A. A. E. Prevalence of Enterobacteriaceae causing urine infections. Bulletin of Faculty of Science, Zagazig University, 2023 ;( 4): 180-189.
35. Shaifali I, Gupta U, Mahmood SE, Ahmed J. Antibiotic susceptibility patterns of urinary pathogens in female outpatients. N Am J Med Sci. 2012;4(4):163-9.
36. Green H, Rahamimov R, Gafter U, Leibovici L, Paul M. Antibiotic prophylaxis for urinary tract infections in renal transplant recipients: a systematic review and meta-analysis. Transpl Infect Dis. 2011;13(5):441-7.
37. Wang Z, Vathsala A, Tiong HY. Haematuria in Postrenal Transplant Patients. Biomed Res Int. 2015;2015:292034.
38. Hazrat U, Nasir K, Asif M, Atta UR. Frequency of urinary tract infections in renal transplant recipients with common bacteria and its sensitivity. Pak Euro. J. Med & LS. 2022;5(2):223-228.
39. Edwards J. The prevention and management of surgical wound complications from acute to community. Wounds. 2025;21(1):2-5.
40. Gurkan A, Yakupoglu YK, Dinckan A, Erdogdu T, Tuncer M, Erdoğan O, et al. Comparing two ureter reimplantation techniques in kidney transplant recipients. Transpl Int. 2006;19(10):802-6.
41. Waller TA, Pantin SA, Yenior AL, Pujalte GGA. Urinary tract infection antibiotic resistance in the United States. Prim Care. 2018;45(3):455-66.
42. Assadi F. Strategies for preventing catheter-associated urinary tract infections. Int J Prev Med. 2018;9:50.
43. Satir A, Ersoy A, Demirci H, Ozturk M. Influenza and pneumococcal vaccination and COVID-19 in kidney transplant patients. Transpl Immunol. 2022;74:101693.
44. Moseley P, Klenerman P, Kadambari S. Indirect effects of cytomegalovirus infection: Implications for vaccine development. Rev Med Virol. 2023;33(1):e2405.
45. Azevedo LS, Pierrotti LC, Abdala E, Costa SF, Strabelli TM, Campos SV, et al. Cytomegalovirus infection in transplant recipients. Clinics (Sao Paulo). 2015;70(8):515-23.
46. Najar MS, Saldanha CL, Banday KA. Approach to urinary tract infections. Indian J Nephrol. 2009;19(4):129-39.
47. Kaufman AC. Antibiotics: mode of action and mechanisms of resistance. J Med Microbiol. 2011;25(2):49-55.
48. Al-Badr A, Al-Shaikh G. Recurrent urinary tract infections management in women: a review. Sultan Qaboos Univ Med J. 2013;13(3):359-67.
49. Raheela K, Farooq I, Asim R, Rabbeya A. Epidemiology of Urinary Incontinence among Females of Age 20-65 years. Pak Euro. J. Med & LS. 2022;5(1):61-66.