New Guide Tackles UTI Antibiotic Overuse

A new national guide has been released to help clinicians manage suspected urinary tract infections (UTIs), aiming to combat the overuse of antibiotics. Developed by researchers from the VA Ann Arbor Healthcare System and the University of Michigan, the guide provides step-by-step tools for non-pregnant women and men, assisting in determining appropriate tests and antibiotic necessity.

The increased use of telehealth and virtual care has simplified access to prescriptions, sometimes without any testing. This shift raises concerns among experts regarding the potential for underusing essential diagnostic tools like urine cultures and the subsequent rise of antibiotic-resistant bacteria. The guide specifically addresses complex cases, including those with organ transplants, chemotherapy, kidney disease, or frequent UTIs.

Researchers caution that at-home and even some in-clinic tests may not be accurate enough to confirm a UTI. The guide therefore encourages urine cultures whenever feasible, particularly for individuals prone to recurrent infections. It acknowledges the benefits of telehealth in improving access to care while emphasizing the need for proper diagnosis and treatment. The Veterans Affairs hospitals are currently piloting this guide during telehealth visits.