We would say that the frequency of viral versus bacterial causation is about 60:40 viruses versus bacteria, respectively. There can be both present, but the fact bacteria are cultured from the urine does not mean they are the major cause of the infection and symptoms that are most concerning. They can be a secondary infection, as a kind of overlay, given that they are usually manageable using available antimicrobial adjuncts, but the viruses are more well-entrenched usually and not easily eradicated, and that is the tip-off shown by those with chronic UTIs that never go away despite all the attempts at treatment.
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