A 70-year-old female with a history of recurrent UTIs presents with UTI symptoms. Despite completing multiple courses of antibiotics, her symptoms persist. What could be the cause, and what is the plan of action?
Recurrent or persistent UTI symptoms in this patient may indicate an antibiotic-resistant infection, incomplete treatment, or an underlying issue like bladder dysfunction, kidney stones, or a urinary tract obstruction. A urine culture should be performed to identify the causative organism and its antibiotic sensitivity. Further investigation with imaging studies, such as a renal ultrasound or a CT scan, may also be warranted to identify any underlying issues.