This section gives examples of the information patients/carers may find helpful at the key stages of the patient journey. The checklist was designed by members of the guideline development group based on their experience and their understanding of the evidence base. The checklist is neither exhaustive nor exclusive.
Explain the symptoms of UTI, how to tell a UTI might be present and when to seek medical advice, eg from GP or pharmacist.
Inform women of the cause of UTIs and the effect UTIs have on the body.
Discuss with women how having other conditions can make them more susceptible to UTIs, eg diabetes. Offer time to answer questions women may have.
Discuss the implications of recurring UTIs on health in general, including the bladder.
Discuss with women aged under 65 years how to provide a urine sample for dipstick testing, including advice around ensuring the bladder has not been emptied for at least four hours before taking the sample.
Provide women with the SIGN patient version of this guideline to help them understand and manage UTIs.
Explain the rationale for not prescribing and delayed prescribing.
Explain the difference between a 3-day and a 7-day course of antibiotics and the reasons for using one or the other.
Ensure women understand the need to finish the course of antibiotics.
Advise women how long it will be before they start to feel better after starting treatment.
Inform women of common side effects associated with treatment and advise them not to be concerned and not to stop treatment without discussion with a healthcare professional.
Discuss potential drug interactions with other prescribed medicines they may be taking.
Advise women to return to their GP or NHS24 (at weekends or evenings) if symptoms don’t improve with treatment, get worse or come back after treatment.
Explain the long-term effects that can occur when taking long-term prophylactic antibiotics.
Discuss steps women can take to reduce the chances of having further UTIs, including:
- drinking plenty of fluid.
- avoidance of spermicide containing contraceptives.
- personal hygiene.
- voiding behaviours.