Important things to know about UTIs and Antibiotic Resistance

What is antibiotic resistance?

Antibiotic resistance occurs when bacteria that cause an infection develop the ability to resist the effects of an antibiotic. This makes it increasingly more difficult to treat the infection. Antibiotic resistance is typically caused by overuse and misuse, but anytime you use an antibiotic it can potentially lead to resistance.

Antibiotic resistance and UTI patients

Because UTIs can lead to serious issues if left untreated, such as kidney infections, renal damage, and sepsis, UTIs have been a major focus for global health officials in the fight against antibiotic resistance.

What's causing the increase?

The antibiotic needed to treat a UTI depends on the type of bacteria causing the infection. In order for doctors to identify the specific bacteria causing the infection, they must get a urine culture. But it takes several days to get results back from the lab, so doctors will usually make a best-guess of what antibiotic will work. This leads to a lot of antibiotic misuse.

This is why it's so important your doctor confirms what bacteria is causing the infection before prescribing any antibiotics.

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Sources:

1. Lisa Bebell, MD. “Antibiotic-Resistant Urinary Tract Infections Are on the Rise.” Harvard Health Blog, 2 Oct. 2019, www.health.harvard.edu/blog/antibiotic-resistant-urinary-tract-infections-are-on-the-rise-2019101417982.

2. Sanchez, Guillermo V, et al. “Antibiotic Resistance among Urinary Isolates from Female Outpatients in the United States in 2003 and 2012.” Antimicrobial Agents and Chemotherapy, American Society for Microbiology, 22 Apr. 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC4862481/.

3. “About Antibiotic Resistance.” Centers for Disease Control and Prevention, Centers for Disease Control and Prevention, 13 Mar. 2020, www.cdc.gov/drugresistance/about.html#:~.

4. Richtel, Matt. “Urinary Tract Infections Affect Millions. The Cures Are Faltering.” The New York Times, The New York Times, 13 July 2019, www.nytimes.com/2019/07/13/health/urinary-infections-drug-resistant.html.

5. “Antibiotic Resistance.” World Health Organization, World Health Organization, 31 July 2020, www.who.int/news-room/fact-sheets/detail/antibiotic-resistance.