Recurrent UTI asking for 'something stronger' — CCE clinical encounter

Objectives

1. Reframe 'stronger antibiotics' as a recurrence-management consultation without dismissing her frustration. ^[11]
2. Confirm the recurrence definition and review the cultures for true resistance versus sensitive-organism repetition. ^[11]
3. Sequence antibiotic-sparing prophylaxis with quantified evidence — water first, then methenamine hippurate, vaginal oestrogen, cranberry. ^{[13] [10] [12] [14]}
4. Address the postmenopausal genital tract — atrophy is a modifiable driver. ^[12]
5. Set the fallback (continuous or post-coital prophylaxis) and safety-net for pyelonephritis and haematuria. ^{[13] [4]}