A female client with several UTIs is advised to prevent recurrence. What instruction should the nurse give?

• A. Wipe the perineal area from front to back
• B. Wipe from back to front
• C. Use douches daily
• D. Limit fluids

Answer: (A)

The key idea is correct perineal hygiene to prevent bacteria from the rectal area reaching the urethra. In women, the urethra is short and located near the anus, so wiping from front to back helps keep bacteria away from the urethral opening and bladder, reducing the chance of infection recurrence. Wiping back to front can drag rectal bacteria toward the urethra, increasing risk. Douches disrupt normal vaginal flora and irritation, which can raise infection risk, so they’re not recommended. Keeping well-hydrated helps dilute and flush bacteria, and other good practices like postcoital voiding and breathable underwear can also help. The best instruction is to wipe from front to back after urination and defecation.