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Urinary tract infections (UTIs) disproportionately affect adult women. Postmenopausal women are especially vulnerable to recurrent UTI, commonly defined as culture-proven UTIs that have occurred at least twice within 6 months or 3 times within 12 months. Current prevalence estimates are lacking, despite the significant negative effect of recurrent UTI on quality of life and health care costs.1 There is significant variation in patient care related to inconsistent recommendations from key professional societies due to lack of high-quality evidence supporting clinical guidelines.2- 5
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Corresponding Author: Linda Brubaker, MD, Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Diego, 9500 Gilman Dr, MC 0971, La Jolla, CA 92075 (email@example.com).
Published Online: January 29, 2020. doi:10.1001/jama.2019.21377
Conflict of Interest Disclosures: Dr Aslam reported receiving personal fees as a consultant from Merck. Dr Brubaker reported receiving grants from the National Institutes of Health and editorial stipends from Female Pelvic Medicine & Reconstructive Surgery and UpToDate. No other disclosures were reported.
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