UTI Management in Primary Care

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Participants • Dr Scott Walkin - Clinical Lead for Antimicrobial Resistance and Infection Control, Irish College of GPs • Dr John Maher - Host

Summary In today's episode, we discuss antimicrobial management of urinary tract infections (UTIs) in primary care. We explore the challenges of antibiotic stewardship in Ireland, the importance of accurate diagnosis with an emphasis on history and examination, and the role of dipstick urinalysis. We also cover treatment options, management of recurrence, considerations for particular cohorts such as nursing home residents, and importance of safety netting in patient education.

Acknowledgements Dr Paul Ryan - GP and Pharmacist Mala Shah - Chief 2 Antimicrobial Pharmacist, HSE Dr Robyn Traynor - Clinical Microbiology SpR Links Irish College of GPs Website www.antibioticprescribing.ie Health Protection Surveillance Centre. Surveillance of Antimicrobial Consumption in Ireland – Quarterly Report 2025 Antimicrobial consumption dashboard (ESAC-Net) - European Centre for Disease Prevention and Control RESIST newsletter - Antimicrobial Resistance and Infection Control (AMRIC) Team Disclaimer The information provided in this podcast is for educational and informational purposes only. It is not intended to serve as medical advice, diagnosis, or treatment, nor does it replace independent clinical judgment or consultation with a qualified healthcare professional. The views and opinions expressed by hosts and guests are their own and do not necessarily reflect those of the Irish College of GPs. Listeners are encouraged to review current clinical guidelines, product labelling, and relevant policies before applying any information discussed in this podcast. This podcast does not establish a doctor–patient relationship. Healthcare professionals should exercise their own professional judgment in evaluating and applying information to specific clinical situations. Patients or members of the public should seek advice from their own qualified healthcare provider regarding any medical condition or treatment. It may not be possible or appropriate in all circumstances to follow the advice/processes suggested in this podcast, for example due to resource availability. While efforts are made to ensure accuracy, medicine is a constantly evolving field, and no guarantee is made regarding the completeness, accuracy, or timeliness of the information presented. By listening to this podcast, you acknowledge and agree that the hosts, guests, producers, affiliated organizations and the Irish College of GPs are not liable for any direct or indirect consequences resulting from the use of the information provided.