Abstract
Because of the increasing use of antibiotics in the inpatient and outpatient setting, the emergence of resistance to antimicrobial agents has progressed significantly. Traditionally, antibiotic resistance has been a problem only in the management of complicated nosocomial urinary tract infections (UTIs). However, we now are seeing an emergence of antibiotic resistance in uncomplicated community-acquired UTIs. Although uncomplicated UTIs constitute most UTIs, patients with recurrent UTIs or complicated persistent UTIs represent a significant portion of a urologist’s practice. The role of antibiotic prophylaxis or suppressive therapy in treating the sequelae of UTIs must be balanced against the evergrowing problem of antimicrobial resistance.
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