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Uncomplicated Urinary Tract Infection

Uncomplicated Urinary Tract Infection

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Are you a biological female between the age of 18 and 64 years?

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Uncomplicated Urinary Tract Infection key facts

Navin Khosla NowPatientGreen tick
Updated on 24 Sep 2024

A urinary tract infection (UTI) is one of the most common bacterial infections (caused by the bacteria Escherichia coli – E. coli) that can occur in women between the ages of 16 and 64. Approximately half of women have at least one UTI in their lifetime, and 20-30% have two or more. In fact 25% of women who have a UTI can have a recurrent episode within 3-6 months and 40% have a recurrence within 12 months. It’s worth remembering that a UTI is not a gynaecological disease.

What is the urinary tract?

The urinary tract is the body’s drainage system for removing urine. It consists of 4 components:

  • Kidneys – these are small, bean-shaped organs on the back of your body, above your hips. The kidneys filter water and waste products from your blood, which becomes urine.
  • Ureters – these are thin tubes that carry urine from your kidneys to your bladder.
  • Bladder – this is a balloon-like organ that stores urine before it leaves your body.
  • Urethra – this is a tube that carries pee from your bladder to the outside of your body.

Illustration of the human urinary system showing kidneys, ureters, bladder, and urethra with labeled parts.

What are the types of Urinary Tract Infections (UTIs)?

UTIs are clinically classified as being either:

  • Uncomplicated – a bacterial Infection of the bladder that is not associated with structural or functional abnormality of the urinary tract and where the individual has no underlying chronic conditions such as diabetes, is not immunocompromised, has not had recent urologic surgery, or is not pregnant
  • Complicated – a bacterial Infection that is linked with a condition, such as a structural or functional abnormality of the urinary tract, or the presence of an underlying disease

What are the different types of uncomplicated Urinary Tract Infections (UTIs)?

Uncomplicated UTIs normally affect individuals who are otherwise healthy and have no structural or functional abnormality of the urinary tract. Uncomplicated UTIs are further classified into either:

  • Uncomplicated lower UTIs (acute cystitis – affecting bladder)
  • Uncomplicated upper UTIs (acute pyelonephritis – affecting kidneys)

Upper and lower UTIs explained

Uncomplicated UTIs usually resolve within a few days, with or without treatment. Treatment with antibiotics can however reduce the length of the episode by a day or two and can also prevent complications.

What are the causes of uncomplicated UTIs?

Uncomplicated UTIs are caused by bacteria such as E. coli entering your urinary tract. Because women have a shorter urethra than men, the bacteria are more likely to travel to the bladder or kidneys and cause an infection.

Factors that can increase the risk of getting Uncomplicated UTI?

The following factors can increase your risk of getting an uncomplicated UTI:

  • Frequent sexual activity
  • New sexual partners
  • Some types of birth control
  • Menopause

How to prevent Uncomplicated UTIs?

UTIs can’t always be prevented, however, it is possible to reduce your risk of getting one. The following are things you can do to prevent a UTI:

  • Keep the genital area clean and dry
  • Wipe from front to back when you go to the toilet
  • Drink plenty of fluids, particularly water – so that you regularly urinate during the day and do not feel thirsty
  • Wash the skin around the vagina with water before and after sex
  • Urinate as soon as possible after sex
  • Explore different birth control options – Some types of birth control might promote an overgrowth of harmful bacteria including:
    • Diaphragms
    • Non-lubricated condoms
    • Spermicides
    • Spermicide condoms

What are the symptoms of Uncomplicated UTI?

Symptoms of an Uncomplicated UTI may include:

  • Pain or a burning sensation when passing urine (dysuria)
  • Needing to pass urine more often than usual
  • Needing to pass urine more often than usual during the night (nocturia)
  • Needing to pass urine suddenly or more urgently than usual
  • Urine that looks cloudy
  • Blood in your pee
  • Lower tummy pain or pain in your back, just under the ribs
  • A high temperature, or feeling hot and shivery
  • A very low temperature below 36C

Is an Uncomplicated UTI contagious?

Uncomplicated UTIs are not contagious and cannot be sexually transmitted.

When to get advice from a GP

You should contact your GP if you suspect you have a UTI and you:

  • Have symptoms of a urinary tract infection (UTI) for the first time
  • Have a child has symptoms of a UTI
  • Are a man with symptoms of a UTI
  • Are pregnant and have symptoms of a UTI
  • Are caring for an older, frail person who may have symptoms of a UTI
  • Have symptoms of a UTI after surgery
  • Have symptoms that get worse or do not improve within 2 days
  • Have symptoms that come back after treatment
  • Are immunosuppressed because of an underlying condition or because of treatment e.g chemotherapy
  • Have associated vaginal discharge

You should seek an emergency GP appointment or Call NHS 111 immediately if you experience the following symptoms:

  • Have a very high temperature, or feel hot and shivery
  • Have a very low temperature below 36C
  • Are confused or drowsy
  • Have pain in the lower tummy or in the back, just under the ribs
  • Can see blood when you pass urine

Check if you qualify for FREE treatment with NHS Pharmacy First, without seeing your GP

You can check your eligibility to use the NHS Pharmacy First service if you suspect you have an uncomplicated UTI and you:

  • Are a biological female aged between 18 years and 64 years

And you have ONE or more of the following symptoms:

  • Dysuria (burning pain when passing urine)
  • New nocturia (needing to pass urine in the night)
  • Urine cloudy to the naked eye (visual inspection by pharmacist if practicable)

The NHS Pharmacy First service is available to all NowPatient users who are registered with the NHS in England. If you are exempt from paying for your prescriptions, the service and the treatments are provided free of charge. If you are not exempt from paying prescription charges, treatments are provided at the prevailing NHS prescription charge rate. There is no charge for consultations.

What NHS Pharmacy First treatments are available for Uncomplicated UTIs?

Although many cases of Uncomplicated UTIs tend to self-resolve, you may find that the symptoms may warrant treatment. You have a number of self-care and referral options:

  • Purchase an over-the-counter painkiller from a store
  • Refer to the NowPatient NHS Pharmacy FIrst service where you will be assessed and possibly given a prescription for a short course of antibiotics
  • If there are warning signs and you are not eligible to use the NHS Pharmacy First service, then self-refer to a GP

It’s important to take all the medicine you’re prescribed, even if you start to feel better.

Sources

Medical Disclaimer

NowPatient has taken all reasonable steps to ensure that all material is factually accurate, complete, and current. However, the knowledge and experience of a qualified healthcare professional should always be sought after instead of using the information on this page. Before taking any drug, you should always speak to your doctor or another qualified healthcare provider.

The information provided here about medications is subject to change and is not meant to include all uses, precautions, warnings, directions, drug interactions, allergic reactions, or negative effects. The absence of warnings or other information for a particular medication does not imply that the medication or medication combination is appropriate for all patients or for all possible purposes.

Service Guide

Everything you need to know about NHS Pharmacy First

What is NHS Pharmacy First?

If you are aged 18 years and over, and registered with the NHS in England, you may qualify for a FREE remote video consultation and treatment covering six common conditions, without having to see your GP.
Pharmacy First is the name of a new service which is available to ALL NHS patients across England and will allow you to get treated with prescription-only medications, without having to visit your GP or obtain a prescription.
The FREE service is subject to eligibility requirements. To check if you qualify, select the condition you would like to get treated in the search box and answer the screening questions.

What conditions do you treat with NHS Pharmacy First?

We assess and treat the following conditions:

  • Sinusitis
  • Sore throats
  • Infected insect bites
  • Impetigo
  • Shingles
  • Uncomplicated urinary tract infections in women

If treatments are prescribed, they are dispensed and delivered to your home or workplace from NowPatient’s online pharmacy.

Is this a safe service?

Yes. Our formulary of medications prescribed and conditions treated are controlled, governed, and continuously risk-assessed by the NHS. Our service is conducted through remote video consultations, also known as synchronous consultations. This builds patient safety and prescribing appropriateness into our service, ensuring our clinicians can be satisfied with who and what they are treating. There is no guarantee of supply of medications, and any medications supplied are at the sole discretion of our assessing clinician.

How will I know that the service is being provided by a trustworthy clinician?

Our clinicians are board-certified pharmacists who can also prescribe selected medications for six common treatable conditions, which is set out by the NHS. Our clinicians are registered with their respective regulatory bodies. For example, a pharmacist is registered with the General Pharmaceutical Council (GPhC). Each clinician undergoes an extensive background check including a disclosure and barring service check (DBS). In addition, they undergo a rigorous license verification process. When you book an appointment with one of our clinicians you will see their full name, license number, and any specialized credentials they have.

Is the service available in the United States and the United Kingdom?

No. At the moment, it is only available in England.

Can I use NowPatient’s NHS Pharmacy First feature if I live in Scotland, Wales or Northern Ireland?

This service is commissioned by NHS England and is only available to patients in England. You will not be able to use the feature if you live in Scotland, Wales, or Northern Ireland.

Do I need to pay for this service?

This is a FREE service for NHS-registered users. If you are prescribed medication at the end of your assessment and you are not exempt from NHS prescription charges, then you will need to pay a single NHS prescription charge, which is currently £9.90. If you are exempt from prescription charges, for example, if you are on Income Support or aged over 60, then you will not be charged.

How do I know if I qualify?

If you suspect you are suffering from any of the following conditions:
  • Sore throats
  • Sinusitis
  • Infected insect bites
  • Impetigo
  • Shingles
  • Uncomplicated urinary tract infections in women
You will need to complete a screening quiz. This will allow us to check if the service is suitable for you.
To get started, go to the tools page. Select NHS Pharmacy First. You should then select the following action – ‘Treat Condition’
You will be taken to a selection screen where you will need to select the condition that you are looking to treat. After you have selected the condition, you will need to complete a short screening quiz, which will determine if you are suitable for the service. If you do not qualify, we will signpost you to the right NHS care provider or service.

What are the next steps, if I qualify?

If you do qualify, you will be able to book a consultation with one of our NHS Pharmacy First trained clinicians. To do this, you will need to select a date and time that is convenient for you, along with the preferred language of the clinician you wish to choose. You will then see a list of all available clinicians. From this list, you can filter clinicians by gender and then select the clinician you would like to confirm for your booking.
Once you have approved this, you will see a summary of the appointment including preliminary information about the consultation. At this point, you will also be able to add a reminder to your calendar.
Always ensure your account health profile is up to date before any consultation. This ensures that our clinicians have the most up-to-date information about your current health status and anything that may influence their prescribing decisions. You will receive a push notification and email reminding you of your consultation, 30 minutes before it is due to start.
You can ‘star’ the NHS Pharmacy First quick action widget to have it display in the ‘My Favourite Widgets’ section of your dashboard, for ease of future booking or checking active or past orders.

Will you have access to my GP records?

Yes, as an NHS patient, our pharmacists will be able to access to your GP record including medications, observations, and investigations. This ensures we are able to assess and treat your condition safely and appropriately.

What happens during the remote video consultation?

During the consultation, the clinician will ask you a series of questions that will allow the clinician to diagnose your health condition and consider possible treatment options. At the end of the consultation, the clinician will decide if a treatment plan is a safe and appropriate option for you.

If it is, the clinician will discuss the various treatment options that may be available, so that you can jointly agree on the option that is most suited to you. Once you have jointly agreed on a treatment plan, the clinician will issue a prescription order which will be available in your ‘shopping cart’ at the end of the consultation.

Also, with your consent, the clinician may wish to inform your GP of the treatment that was prescribed. We recommend that you agree to this since your GP is responsible for your overall care and they should have a record of this consultation and medication prescribed. In addition, our clinician may take the opportunity to advise you on your overall health including advice on healthy living or stop smoking.

What happens at the end of the consultation?

At the end of the consultation, you will receive a notification which will summarise the outcome. It will also advise if any signposting to other NHS services were made or if referrals were made to your GP, along with any other advice that was given to you by the clinician.

If a GP referral letter was issued, you will be able to view a copy of this in the ‘My Documents’ section of your dashboard.

If you were prescribed a treatment plan, it will now be available in your shopping cart. When you go to your shopping cart, you will be able to checkout and make a payment or claim an exemption. Remember, you only make a payment If you are NOT exempt from NHS prescription charges. Once the checkout is complete, your prescription order will be sent to our NHS online pharmacy for processing.

What if the clinician does not prescribe a treatment?

We operate a safe and effective service. This means that our clinicians always exercise their clinical judgment when prescribing. Unfortunately, we do not operate a service where you can demand a certain medication. If you are not prescribed anything, then you will not be charged.

Will I get status updates for my order?

Yes. When you place an order with NowPatient, we will keep you fully updated with the status of your order. Every time the status of your order changes, you will be notified immediately. These notifications will appear in your ‘My Notifications’ section on your dashboard. You can click the notification and it will take you to your active orders screen which will give you a timeline overview of the progress of your order. This can also be accessed using the ‘My Orders’ quick action widget which is on your dashboard. Here, you can access active and past orders.

How will my order be delivered?

All orders are shipped in discreet and unmarked packaging. This means it is suitable for delivery wherever you require (home, work, or a neighbour). For thermo-sensitive orders (e.g. Insulin or weight loss injections) we use cold chain-validated packaging. Your parcel will normally receive an estimated delivery window from the courier on the day of delivery.

For your protection and safety, your first order can only be delivered to the address that is registered with the NHS. Future orders can be delivered to any other address, for example, your workplace.

Do you ship cold-chain or temperature sensitive products?

Yes. We use a specialist courier service for all thermo-sensitive deliveries. This is to ensure that cold chain integrity is always maintained and thus the product quality, safety and efficacy.

Learn more about how we handle the delivery of temperature sensitive products.

Where do you deliver?

We currently deliver to all postcodes in England. Some postcodes in rural areas may have a slightly longer delivery time.

When will my order arrive?

We aim to ship all orders placed Monday – Friday before 3pm on the same day. Orders placed outside these times will be shipped the next working day. All deliveries are shipped with Royal Mail, DPD, or DHL who deliver Monday – Saturday.
Our delivery options have the following delivery times:
  • Royal Mail Standard Tracked & Signed for Delivery for NHS prescriptions – 2/3 day delivery (normally 48 hours)
  • DHL Express Tracked Delivery – 1/2 day delivery (normally 24 hours)
  • Royal Mail Special Delivery – Next working day (Royal Mail Guaranteed before 1pm)

What should I do if my order has not arrived?

Delivery is normally made promptly after your dispatch notification is received. You can check the tracking details of your order in the ‘My Notifications’ section of your dashboard, at any point after dispatch.

Unfortunately, packages can sometimes get lost in the delivery system, if after 10 days you have not received your delivery, please contact us and we will do all we can to resolve the problem.

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Our website is www.nowpatient.com. Our App is called “NowPatient” and can be downloaded from the App Store (for Apple devices) or Google Play (for Android devices).

Can you tell me more about your NHS online pharmacy?

NowPatient’s Pharmaceutical services in the UK are provided by Infohealth Limited trading as ‘Infohealth Pharmacy’.

Our dispensing pharmacy is regulated and authorized for internet sales by the General Pharmaceutical Council (GPhC), registration number 1036487. You can view our license credentials on the General Pharmaceutical Council website. Our superintendent pharmacist who is responsible for the safe and effective oversight of medicines supplies is Mr Amish Patel (Registration Number 2042705).

Medicines are not ordinary items of commerce. All medicines or healthcare product sales are made under the supervision of a registered pharmacist who is licensed by the GPhC. At all times, we endeavour to provide a professional and transparent service whose primary goal is to ensure that the best interests of the patient are served.

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From time to time, we accept that our service levels may not be up to your expectations. NowPatient welcomes concerns, compliments and complaints as valuable feedback that will help us learn from your experiences and make improvements. Feedback can be provided via our clear and transparent Complaints Procedures.

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Our prescribing services are regulated by the General Pharmaceutical Council (GPhC). We provide the following regulated activity:

• treatment of disease, disorder, or injury
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• caring for adults over 65 years old
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NowPatient prescribing services are run by Infohealth Limited. The Clinical Safety Officer and nominated individual is Mr Navin Khosla.

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You can lower the cost of your prescription medications using our various savings programs which include drug coupons, savings card and manufacturer-sponsored patient assistance programs.

We do not provide any prescribing services or dispensing services in the United States.

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Please note that we are closed at weekends.

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US – 911

In the event of a medical emergency which is not life-threatening please call:

UK – 111

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