Open research questions in Urinary Tract Infections Management
388 gap statements mined from Urinary Tract Infections Management papers in our 7.9M-paper local library, which holds 1,819 papers on the topic — drawn mostly from each paper's own stated research gap, future-work, challenge and limitation notes, and its abstract. The ones listed below are a selection still marked open; each names the study that raised it, with a DOI link where the paper has one.
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What the literature leaves open
The need to evaluate the antimicrobial activity of older drugs. The challenge of determining the bactericidal activity of furazidin against Enterobacterales.
In vitro activity of furazidin and comparator agents against bacterial isolates from urinary tract infections · 2026 · DOIThe need to re-evaluate the antimicrobial activity of older drugs. The lack of understanding of the in vitro activity of furazidin against bacterial isolates from urinary tract infections.
In vitro activity of furazidin and comparator agents against bacterial isolates from urinary tract infections · 2026 · DOIIt highlights the need for more transparent and comprehensive reporting of clinical studies. It notes the limitations of current treatment options, such as antibiotic resistance.
Clinical research landscape and evidence gaps in Traditional Chinese Medicine for recurrent urinary tract infections: a scoping review · 2026 · DOIThere is a need to understand how urinary bacterial ecology and antimicrobial resistance change over time and vary across clinical settings.
Urinary Bacterial Isolate Distribution and Laboratory-Reported Antimicrobial Resistance in a Romanian Tertiary Urology Department: A Retrospective Comparison of 2013 and 2023 · 2026 · DOIThe current treatment strategies for CAUTIs are often ineffective due to the formation of bacterial biofilms on catheter surfaces. There is a need for innovative treatment strategies that can combat these biofilm-associated infections. The development of dedicated and innovative methods is required based on our understanding of the intricate nature of biofilms.
Catheter-Associated Urinary Tract Infections: Understanding the Interplay Between Bacterial Biofilm and Antimicrobial Resistance · 2025 · DOIThe lack of robust evidence for non-antibiotic alternatives. The need for controlled and comparative trials to confirm the effectiveness and clinical applicability of Uromune.
Current Evidence on Safety, Efficacy and Efficiency of Sublingual Vaccine Uromune® in Prevention of Recurrent Urinary Tract Infections: A Literature Review · 2025 · DOIThe lack of standardized treatment approaches for UTIs despite the existence of diverse guidelines from various medical specialties. The increasing incidence of multidrug resistance, which complicates UTI management. The need for effective strategies to balance antimicrobial stewardship with infection control.
Real data regarding antimicrobial resistance rates of positive urine cultures from Romania are scarce. The focus was mainly on female patients, with limited data on mixed adult populations.
In and Outpatients Bacteria Antibiotic Resistances in Positive Urine Cultures from a Tertiary Care Hospital in the Western Part of Romania—A Cross-Sectional Study · 2025 · DOIThe risk of underdiagnosis or underestimation of resistance in settings with limited microbiological capacity - The need for vigilant antimicrobial stewardship and further research to develop standardized treatment protocols for managing infections caused by K.
First Report from Colombia of a Urinary Tract Infection Caused by Kluyvera ascorbata Exhibiting an AmpC Resistance Pattern: A Case Report · 2025 · DOIThe study had to overcome the limitation of scarce antimicrobial resistance data in low- and middle-income countries.
The Etiology and Antimicrobial Susceptibility of Community-Onset Urinary Tract Infections in a Low-Resource/High-Resistance Area of Latin America · 2025 · DOIThe lack of knowledge of the local epidemiology of antimicrobial susceptibility among the most common pathogens.
The Etiology and Antimicrobial Susceptibility of Community-Onset Urinary Tract Infections in a Low-Resource/High-Resistance Area of Latin America · 2025 · DOIAccordingly, international guidance is sparse and inconsistent, and preoperative pathways for urine culture and its treatment differ between institutions.
Are we far from getting it right? Contemporary practices in culturing urine pre‐ureteroscopy · 2026 · DOIThere is conflicting evidence regarding the association of preoperative asymptomatic bacteriuria (ASB) with postoperative urinary tract infection (UTI).
Are we far from getting it right? Contemporary practices in culturing urine pre‐ureteroscopy · 2026 · DOIDespite this, there are limited data on the impact of oral antibiotic treatment failure (TF) on health care resource utilization (HCRU) and costs for patients with empirically treated uUTIs.
Impact of empirical treatment failure on health care resource utilization and costs among female patients with uncomplicated urinary tract infections in a US-based Integrated Health Delivery Network · 2025 · DOIUrinalyses (UAs) have been increasingly incorporated into diagnostic stewardship interventions, but the impact of these interventions nationally has not been assessed.
Urine culture and urinalysis utilization practices in United States acute care hospitals between 2017 and 2020 · 2025 · DOIBased on findings regarding risk factors for CAUTI, focus on reducing LOS and UC utilization is warranted, as well as implementing evidence-based CAUTI-prevention recommendations.
Incidence and risk factors for catheter-associated urinary tract infection in 623 intensive care units throughout 37 Asian, African, Eastern European, Latin American, and Middle Eastern nations: A multinational prospective research of INICC · 2024 · DOIManagement of asymptomatic bacteriuria in kidney transplant recipients remains uncertain.
Clinical Urinary Tract Infections in Kidney Transplant Recipients With Initially Asymptomatic Bacteriuria: A Single-Center Retrospective Cohort Study · 2024 · DOIExamining the benefit of screening and treatment of asymptomatic bacteriuria in patients with these high-risk features warrants further investigation.
Clinical Urinary Tract Infections in Kidney Transplant Recipients With Initially Asymptomatic Bacteriuria: A Single-Center Retrospective Cohort Study · 2024 · DOILimited understanding of the immune response in chronic LUTS patients. Small sample size and limited to female participants.
Circulating Neutrophils Exhibit an Altered Immune Response in Chronic LUTS: An Image-Based Deep Learning Analysis · 2026 · DOIThe study has a limited number of studies on some non-antibiotic therapies, such as probiotics and cranberry products. The study notes that the quality of the evidence varies, with some studies having a high risk of bias.
Effectiveness of Non-Antibiotic Therapies in the Management of Recurrent Urinary Tract Infections in Women: A Systematic Review · 2026 · DOILimited to female participants. No known co-morbidities that may influence normal immune functions.
Circulating Neutrophils Exhibit an Altered Immune Response in Chronic LUTS: An Image-Based Deep Learning Analysis · 2026 · DOIFuture trials should consider feasible bias-control strategies, - Future research should prioritize transparent reporting of ethics approval, informed consent, randomization, allocation concealment, blinding, and protocol…
Clinical research landscape and evidence gaps in Traditional Chinese Medicine for recurrent urinary tract infections: a scoping review · 2026 · DOIMethodological limitations of the narrative review, - Lack of systematic criteria for study selection and analysis, - Potential bias, - Limited external validity, - Need for controlled and comparative…
Current Evidence on Safety, Efficacy and Efficiency of Sublingual Vaccine Uromune® in Prevention of Recurrent Urinary Tract Infections: A Literature Review · 2025 · DOIFurther studies are needed to establish the trajectory of change during the intervening decade, - Research on the factors contributing to the changes in bacterial composition and antimicrobial resistance patterns is necessary, - Studies on the clinical implications of the observed changes…
Urinary Bacterial Isolate Distribution and Laboratory-Reported Antimicrobial Resistance in a Romanian Tertiary Urology Department: A Retrospective Comparison of 2013 and 2023 · 2026 · DOIA survey of advanced practice clinicians (APCs), physicians, residents, and medical students at an academic medical center and community practices in southeastern Texas revealed a gap in knowledge and practice related to testing and treatment for asymptomatic bacteriuria (ASB) in older adults.
Assessing clinicians’ and trainees’ knowledge and practice of the IDSA guidelines for asymptomatic bacteriuria in older adults · 2024 · DOI
Most-cited papers in Urinary Tract Infections Management
- The microbiome of the urinary tract—a role beyond infection · Nature Reviews Urology · 2015 · 565 citations
- Clinical Significance of Primary Vesicoureteral Reflux and Urinary Antibiotic Prophylaxis After Acute Pyelonephritis: A Multicenter, Randomized, Controlled Study · PEDIATRICS · 2006 · 472 citations
- European Association of Urology Guidelines on Urological Infections: Summary of the 2024 Guidelines · European Urology · 2024 · 345 citations
- Prevalence of Lower Urinary Tract Symptoms and Effect on Quality of Life in a Racially and Ethnically Diverse Random Sample · Archives of Internal Medicine · 2006 · 342 citations
- Circumcision for the prevention of urinary tract infection in boys: a systematic review of randomised trials and observational studies · Archives of Disease in Childhood · 2005 · 317 citations
- Recurring urinary tract infection: incidence and risk factors. · American Journal of Public Health · 1990 · 315 citations
- Community Infections Caused by Extended-Spectrum β-Lactamase–Producing Escherichia coli · Archives of Internal Medicine · 2008 · 308 citations
- Prophylaxis After First Febrile Urinary Tract Infection in Children? A Multicenter, Randomized, Controlled, Noninferiority Trial · PEDIATRICS · 2008 · 287 citations
- Minimizing treatment-induced emergence of antibiotic resistance in bacterial infections · Science · 2022 · 287 citations
- Epidemiology of urological infections: a global burden · World Journal of Urology · 2020 · 285 citations
Most recent work
- Clinical and bacteriological effectiveness of three different short-course antibiotic regimens and single-dose fosfomycin for uncomplicated lower urinary tract infections in women (SCOUT): a pragmatic, multicentre, open-label, randomised clinical trial · The Lancet · 2026
- ESBL-producing Escherichia coli bacteraemic urinary tract infections: Clinical and economic burden and antimicrobial stewardship opportunities in a retrospective cohort study · International Journal of Antimicrobial Agents · 2026
- A pH-Triggered antibacterial and lubricating dual-function hydrogel coating for infection-resistant urinary catheters · Frontiers in Bioengineering and Biotechnology · 2026
- SimUrine: a novel, fully defined artificial urinary medium for enhanced microbiological research of urinary bacteria · Applied and Environmental Microbiology · 2026
- Infection after cesarean delivery: diagnosis, pathophysiology, management, and prevention · American Journal of Obstetrics and Gynecology · 2026
- Hierarchical silver-tannic acid hydrophobic coating via layer-by-layer assembly for antibiofilm applications on urinary catheters · Materials Today Bio · 2026
- The female urogenital microbiome: Ecological insights, therapeutic strategies, and molecular mechanisms · Cell Host & Microbe · 2026
- Host Pathogen Interactions during Catheter-Associated Urinary Tract Infections · ACS Infectious Diseases · 2026
- Safety of Short‐Term Trimethoprim–Sulfamethoxazole Use for Uncomplicated Cystitis: A Nationwide Retrospective Cohort Study · Pharmacoepidemiology and Drug Safety · 2026
- Dual-functional urinary PVC catheters via peptide surface modification for the prevention of biofilm formation and fibrotic response in vitro · Journal of Materials Chemistry B · 2026
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