Uncomplicated urinary tract infections

Uncomplicated urinary tract infections.

BACKGROUND Urinary tract infections (UTIs) are among the most common types of bacterial infection in outpatient medicine. Rising rates of antibiotic resistance and a better understanding of the ecological adverse effects (collateral damage) of antibiotics warrant a reevaluation of the treatment recommendations for uncomplicated UTI. The new S3 guideline contains updated recommendations. METHO...

A Review of Uncomplicated Urinary Tract Infections

Uncomplicated Urinary Tract Infection

Copyright © 2012 Massachusetts Medical Society. A 30-year-old woman calls you to report a 2-day history of worsening dysuria and urinary urgency and frequency. She reports having no fever, chills, back pain, or vaginal irritation or discharge. One month ago, you treated her with a 3-day course of trimethoprim–sulfamethoxazole for presumptive cystitis, and her symptoms resolved. She is otherwise...

Diagnosis and management of uncomplicated urinary tract infections.

Most uncomplicated urinary tract infections occur in women who are sexually active, with far fewer cases occurring in older women, those who are pregnant, and in men. Although the incidence of urinary tract infection has not changed substantially over the last 10 years, the diagnostic criteria, bacterial resistance patterns, and recommended treatment have changed. Escherichia coli is the leadin...

Acute Uncomplicated Urinary Tract Infection in Women

From the Northwest Health Services Research and Development Center of Excellence, Veterans Affairs (VA) Puget Sound Health Care System, and the University of Washington — both in Seattle. Address reprint requests to Dr. Fihn at the Northwest Health Services Research and Development Center of Excellence, VA Puget Sound Health Care System (152), 1660 S. Columbian Way, Seattle WA 98108, or at sfih...