2013
DOI: 10.1001/2013.jamainternmed.829
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Urinary Tract Infection in Male Veterans

Abstract: Background: Lengthier antimicrobial therapy is associated with increased costs, antimicrobial resistance, and adverse drug events. Therefore, establishing minimum effective antimicrobial treatment durations is an important public health goal. The optimal treatment duration and current treatment patterns for urinary tract infection (UTI) in men are unknown. We used Veterans Affairs administrative data to study male UTI treatment and outcomes.Methods: Male UTI episodes in the Veterans Affairs system (fiscal year… Show more

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Cited by 120 publications
(88 citation statements)
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References 30 publications
(41 reference statements)
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“…Despite increasing resistance, one large retrospective analysis of Veterans Affairs (VA) records showed TMP-SMX to be the second most-frequently prescribed antimicrobial in outpatient UTIs, used in 27% of cases [37]. Clinical outcomes data were not available, but a univariate analysis showed TMP-SMX to be associated with early recurrence; however, this effect did not remain significant in multivariate analysis.…”
Section: Trimethoprim-sulfamethoxazolementioning
confidence: 99%
“…Despite increasing resistance, one large retrospective analysis of Veterans Affairs (VA) records showed TMP-SMX to be the second most-frequently prescribed antimicrobial in outpatient UTIs, used in 27% of cases [37]. Clinical outcomes data were not available, but a univariate analysis showed TMP-SMX to be associated with early recurrence; however, this effect did not remain significant in multivariate analysis.…”
Section: Trimethoprim-sulfamethoxazolementioning
confidence: 99%
“…Even when bacteriuria was detected, it was usually not treated. The authors noted that treating bacteriuria associated with SSI is likely confounded by factors that contributed to the initial decision to administer antimicrobials in the first place (43).…”
Section: Resultsmentioning
confidence: 99%
“…UTIs diagnosed with one bacterial species isolated in quantitative count ≥105 bacteria per ml of voided urine in women with symptoms of UTIs. [13][14][15] The midstream, clean-catch urine collection technique remains the most used method of specimen collection. Women instructed to separate their legs apart, to clean the inner folds of the labia and urethral opening by plain water, then start to void and catch midstream urine for culture to decrease contamination of the specimen by introitus bacteria.…”
Section: Methodsmentioning
confidence: 99%
“…[13][14][15] Preventive guidelines published by the United States centers for disease control and prevention suggest that avoiding catheterization is not often possible but should be considered. 4,5 Routine catheterization performed for bladder evacuation before minor gynecological procedures because it is difficult to bimanually evaluate the uterus or to catch uterine cervix with full bladder.…”
Section: Introductionmentioning
confidence: 99%