Oestrogens for Preventing Recurrent Urinary Tract Infection in Postmenopausal Women

@article{Perrotta2008OestrogensFP,
  title={Oestrogens for Preventing Recurrent Urinary Tract Infection in Postmenopausal Women},
  author={Concetta Simona Perrotta and M. De Mateo Aznar and R Mejia and X Albert and C W Ng},
  journal={Obstetrics \& Gynecology},
  year={2008},
  volume={112},
  pages={689-690}
}
s from Cochrane Reviews that relate to the practice of obstetrics and gynecology Oestrogens for Preventing Recurrent Urinary Tract Infection in Postmenopausal Women 
Urinary tract infection : a serious health problem in old women
TLDR
Despite the high incidence of UTI, little is known about its prevalence and incidence in women of all ages but the incidence and prevalence increase with age.
Urinary tract infections and asymptomatic bacteriuria in older adults.
Overuse of urinalysis in older adults to investigate vague changes in condition such as confusion, lethargy, and anorexia, has led to overtreatment of asymptomatic bacteriuria and associated
Recurrent urinary tract infection in women
TLDR
The microbial and non-microbial prophylaxis and management options available to GPs for recurrent UTI in non-pregnant women and when to refer patients to secondary care for further management are outlined.
Successful Approaches to Common Urinary Problems in PostmenopausalWomen
TLDR
It is necessary to select patients suitable for vaginal or laparoscopic mesh placement for urinary incontinence preoperatively based on prior history and once they provide informed consent for surgery.
An Overview to the Treatment of Bacterial Infections of Urinary Tract
TLDR
Urinary Tract Infections (UTI) are more common in women due to the anatomical disadvantage and cases in males are complicated and are associated with abnormalities in the urinary tract.
Recurrent urinary tract infections in non-pregnant adult women
TLDR
Treatment should be according to local antibiogram patterns and prophylactic and postcoital preventative strategies can be used according to current evidence, and certain subpopulations such as HIV positive patients require a different approach compared to the general population.
Pharmacological Agents to Decrease New Episodes of Recurrent Lower Urinary Tract Infections in Postmenopausal Women. A Systematic Review
TLDR
This review supports the use of antibiotic suppression, vaginal estrogen, and oral lactobacillus for prevention of recurrent UTIs in postmenopausal women, and suggests that this is an important but understudied population.
Prevention of Recurrent Urinary Tract Infections in Postmenopausal Women
TLDR
Prevention of recurrent urinary tract infections in postmenopausal women include risk factor identification, non-antimicrobial prophylaxis with cranberry and vaginal estrogen preparations, and antimicrobial proPHylaxis (continuous or intermittent).
The etiology and management of recurrent urinary tract infections in postmenopausal women
  • C. JungL. Brubaker
  • Medicine
    Climacteric : the journal of the International Menopause Society
  • 2019
TLDR
In postmenopausal women with frequent UTI, the diagnosis of acute UTI should be made using a combination of the symptom assessment and urine diagnostic studies, and the choice of UTI antibiotic should include consideration of efficacy, collateral effects, and side-effects.
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References

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    The Journal of infectious diseases
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TLDR
It is shown that nonsecretory status and urologic factors, such as residual volume, reduced urinary flow, previous urogenital surgery, incontinence, and cystocele, are strongly associated with recurrent UTIs in postmenopausal women.
Recurrent urinary tract infections in postmenopausal women.
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  • Medicine
    Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
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TLDR
Multivariate analysis showed that urinary incontinence, a history of UTI before menopause, and nonsecretor status were most strongly associated with recurrent UTI in postmenopausal women.
Antibiotics for preventing recurrent urinary tract infection in non-pregnant women.
TLDR
Investigation of the efficacy and safety of prophylactic antibiotics used to prevent uncomplicated RUTI in adult non-pregnant women found that postcoital treatment could be offered to woman who have UTI associated with sexual intercourse.
Oestrogens for urinary incontinence in women.
TLDR
Oestrogen treatment can improve or cure incontinence and the evidence suggests that this is more likely with urge incontinent, however, the risk of endometrial and breast cancer after long-term use suggests that oestrogens treatment should be for limited periods, especially in women with an intact uterus.
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TLDR
There is no doubt that penicillin is effective in the treatment of syphilis in pregnancy and the prevention of congenital syphilis, but uncertainty remains about what are the optimal treatment regimens.
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TLDR
While a low glycaemic index diet was seen to be beneficial for some outcomes for both mother and child, results were inconclusive and further trials with large sample sizes and longer follow up are required to make more definitive conclusions.
Risk factors for urinary tract infections in postmenopausal women.
TLDR
In this population-based, case-control study of women aged between 55 and 75 years enrolled in a large, staff-model health maintenance organization, the risk factors of healthy community-dwelling postmenopausal women reflect the health status of women as they transition toward old age.
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