Peer-Reviewed Journal Details
Mandatory Fields
Vellinga, A,Cormican, M,Hanahoe, B,Murphy, AW
2010
July
British Journal Of General Practice
Predictive value of antimicrobial susceptibility from previous urinary tract infection in the treatment of re-infection
Published
Altmetric: 2WOS: 10 ()
Optional Fields
antibiotic resistance Escherichia coli general practice predictive value urinary tract infection WOMEN DIAGNOSIS ACCURACY
60
511
513
Recurrent urinary tract infections are often re-infections; therefore, antimicrobial susceptibility test results from a previous episode may guide the empiric therapy in subsequent episbdes. This analysis provides predictive values of the antimicrobial susceptibility of previous Escherichia coli isolates for the treatment of re-infections in routine clinical practice. If resistance to ampicillin, trimethoprim, or ciprofloxacin is detected, re-prescription within 3 months is imprudent. Susceptibility to nitrofurantoin, ciprofloxacin, or trimethoprim in a previous sample supports their prescription for a re-infection within 3 months and up to a year. Resistance to nitrofurantoin is low and, once detected, decays relatively quickly. Nitrofurantoin should be considered as a first-line agent for initial and repeat treatment.
10.3399/bjgp10X514765
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