Wellness

Study Suggests New UTI Test Could Determine the Right Antibiotic in Hours—Not Days

Learn how it works and when it might be available at your local doctor's office

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Key Takeaways

  • A new rapid UTI test may identify the right antibiotic in as little as 6 hours instead of days
  • Faster results could help doctors treat UTIs more accurately and reduce unnecessary antibiotics
  • While promising, experts say this new UTI testing likely won’t be widely available for several

The burning sensation, pelvic discomfort, the constant urge to urinate…we all know the classic symptoms of a urinary tract infection (UTI). And according to the Mayo Clinic, nearly 40 percent of women will experience a UTI at some point in their lives, making it a common health hassle. The problem? Current tests can take days to identify what bacteria is causing your infection and which antibiotic will work to clear the symptoms of a UTI. The good news: Breakthrough research suggests you could soon get those answers in hours instead of days. We spoke with an expert about the new rapid UTI test making waves in research and what it could mean for the future of UTI testing and treatment.

What is a UTI?

“A urinary tract infection is an infection that occurs anywhere along the urinary system, most commonly in the bladder, but it can also involve the urethra or, in more severe cases, the kidneys,” explains Maral Malekzadeh, DO, board-certified gynecologist and co-owner of The Well Westlake. “It develops when bacteria enter the urinary tract and multiply, triggering inflammation and symptoms. While many UTIs are straightforward and treatable, untreated infections can ascend to the kidneys and become more serious, which is why timely evaluation matters.”

Outside of the most widely recognized UTI symptoms like burning during urination, Dr. Malekzadeh says other common signs include:

  • Pelvic pressure
  • Strong-smelling or cloudy urine
  • Needing to urinate more frequently or urgently

The infection is typically caused by bacteria from the gastrointestinal tract entering the urinary system, usually through the tube that carries urine out of the body called the urethra, says Dr. Malekzadeh. Other risk factors include changes in the vaginal microbiome, sexual activity, hormone shifts and incomplete bladder emptying.

When you think you have a UTI, what’s your first move?

Research suggests a new UTI test could deliver results in 6 hours

When you’re dealing with the discomfort of a UTI, you want relief now—not in several days. Unfortunately, current testing standards haven’t caught up with that need. 

“The current standard involves a urine culture and sensitivity test,” explains Dr. Malekzadeh. “A urine sample is collected and placed in a laboratory environment where any bacteria present are allowed to grow over 24 to 72 hours. Once the organism is identified, it is exposed to various antibiotics to determine which ones effectively inhibit bacterial growth. This process provides targeted guidance for treatment, but the delay means clinicians often need to start patients on a ‘best-guess’ antibiotic before final results are available.”

But new research examined a UTI test that could let you know what treatment you need a lot sooner. In a JAC: Antimicrobial Resistance study, 352 urine samples were tested using a new rapid UTI test that showed which antibiotics work against different bacterial causes of UTIs. The test delivered results in about 6 hours and was about 97 percent accurate, closely matching the standard multi-day lab test, but with results available in a fraction of the time. Researchers say this could help doctors choose the right antibiotic for patients sooner, potentially lowering the risk of UTI-related complications.

What the new UTI test could mean for you

“From a clinical standpoint, this [test] could shift care toward more precise, individualized treatment earlier in the course of infection,” says Dr. Malekzadeh. “Clinicians could select the most appropriate antibiotic upfront, which may reduce unnecessary antibiotic exposure, limit resistance and improve patient outcomes, particularly for those with recurrent or complicated infections.”

Although this new research offers hope for the future of UTI testing, it won’t be available to patients right away. “While early data is promising, it will likely take several years before this type of rapid, direct-from-urine testing becomes broadly available in routine care settings,” adds Dr. Malekzadeh. 

What to know about UTIs in women over 50

If you haven’t had a UTI since you were younger, you may think those days are behind you. But it’s just as important for older adults to keep a close out for signs of infection. Here’s what Dr. Malekadeh wants women over 50 to know: 

Hormonal changes raise UTI risk

Lower estrogen levels after menopause can change both the urinary and vaginal microbiome, raising the risk of UTIs, says Dr. Malekzadeh. “This is why some women experience more frequent infections later in life, and why treatments like vaginal estrogen may be considered in certain cases,” adds Dr. Malekzadeh. 

UTI symptoms can look different after 50

“In women over 50, UTIs do not always present with classic symptoms like burning or urgency,” explains Dr. Malekzadeh. “Subtle changes such as fatigue, confusion or generalized discomfort can sometimes be the only signs, making awareness and early evaluation important.”

Prevention is key

“Strategies such as staying well-hydrated, addressing vaginal health, managing underlying conditions like diabetes and, in some cases, using preventive therapies can meaningfully reduce recurrence,” says Dr. Malekzadeh. “Prevention is often just as important as treatment in long-term management.”

The bottom line on rapid UTI tests

While this breakthrough test isn’t available in clinics yet, it represents real hope for the millions of women who deal with UTIs every year. In the meantime, stay informed about your symptoms, don’t hesitate to reach out to your doctor at the first sign of infection and know that faster, more accurate treatment could be just around the corner.

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This content is not a substitute for professional medical advice or diagnosis. Always consult your physician before pursuing any treatment plan.

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