Journal article
Defining recurrent urinary tract infection and reinfection risk: electronic health record study
- Abstract:
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Background
There is limited evidence to support the current standard recurrent urinary tract infection (rUTI) definition of ≥2 UTIs within 6 months or ≥3 within 12 months. Information about reinfection risk after meeting criteria for rUTI may aid decisions on the value of prophylactic approaches.Aim
To estimate the risk of subsequent UTI associated with different rUTI definitions.Design & setting
Electronic health record study using Infections in Oxfordshire Research Database (IORD, 2008-2019) and the Clinical Practice Research Datalink (CPRD, 2009-2019).Method
We identified community-acquired UTIs, separated by 28 days, in non-pregnant women aged 16+years. We created candidate rUTI definitions varying the time window from 3-9 months, and the number of UTIs required to meet the definition from 2-3 episodes. For each definition, we calculated Kaplan-Meier risk estimates of subsequent UTIs within 6 and 12 months after meeting rUTI criteria.Results
Of eligible women with at least one UTI, 18% (15,617/84,809) in IORD and 20% (334,487/1,703,088) in CPRD experienced ≥1 rUTI (current definition). The risk of at least two subsequent UTIs within 12 months after meeting the current rUTI definition rose from 17% (IORD) and 16% (CPRD) to 33% (IORD) and 32% (CPRD) under a rUTI definition of ≥3 UTIs within 6 months. Risk of subsequent UTI also increased with age.Conclusion
Risk estimates of subsequent UTIs after a rUTI vary according to the definition of rUTI adopted. Estimates provided here could support shared decision making around UTI prophylaxis and stratification of populations included in future rUTI research.
- Publication status:
- Published
- Peer review status:
- Peer reviewed
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(Preview, Supplementary materials, pdf, 1.7MB, Terms of use)
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(Preview, Accepted manuscript, pdf, 826.2KB, Terms of use)
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- Publisher copy:
- 10.3399/BJGPO.2025.0239
Authors
- Funder identifier:
- https://ror.org/015ah0c92
- Grant:
- 200915
- Publisher:
- Royal College of General Practitioners
- Journal:
- British Journal of General Practice Open More from this journal
- Article number:
- 0239
- Publication date:
- 2026-02-03
- Acceptance date:
- 2025-11-11
- DOI:
- EISSN:
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2398-3795
- Language:
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English
- Keywords:
- Pubs id:
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2324449
- Local pid:
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pubs:2324449
- Deposit date:
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2025-11-12
- ARK identifier:
Terms of use
- Copyright holder:
- Vazquez Montes et al.
- Copyright date:
- 2025
- Rights statement:
- © 2025 The Author(s). This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License (http://creativecommons.org/licenses/by/4.0/). Published by BJGP Open.
- Licence:
- CC Attribution (CC BY)
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