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01-03-2019 | Antibiotic | Commentary

Commentary on “Cross-over data supporting long-term antibiotic treatment in patients with painful lower urinary tract symptoms, pyuria, and negative urinalysis”

Author: Sanjay Sinha

Published in: International Urogynecology Journal | Issue 3/2019

Excerpt

Swamy et al. report on the impact of stopping, under regulatory advice, long-term therapeutic antibiotics given to patients with bladder pain syndrome who had pyuria but no proven microbial infection [1]; 90% of patients reported rapid recurrence of symptoms, with 11 hospitalizations. …

Swamy S, Kupelian AS, Khasriya R, et al. Cross-over data supporting long-term antibiotic treatment in patients with painful lower urinary tract symptoms, pyuria and negative urinalysis. Int Urogyn J.

Chu CM, Lowder JL. Diagnosis and treatment of urinary tract infections across age groups. AJOG. 2018;219:40–51.CrossRef

Nakano H, Oba K, Saito Y, et al. Asymptomatic pyuria in diabetic women. J Nippon Med Sch. 2001;68:405–10.CrossRefPubMed

Rowe TA, Juthani-Mehta M (2013) Urinary tract infection in older adults. Aging Health. 9. https://doi.org/10.2217/ahe.13.38.

Schmiemann G, Kniehl E, Gebhardt K, Matejczyk MM, Hummers-Pradier E. The diagnosis of urinary tract infection: a systematic review. Dtsch Arztebl Int. 2010;107:361–7.PubMedPubMedCentral

Kupelian AS, Horsley H, Khasriya R, et al. Discrediting microscopic pyuria and leucocyte esterase as diagnostic surrogates for infection in patients with lower urinary tract symptoms: results from a clinical and laboratory evaluation. BJU Int. 2013;112:231–8.CrossRefPubMed

Wyndaele JJ, Van Dyck J, Toussaint N. Cystoscopy and bladder biopsies in patients with bladder pain syndrome carried out following ESSIC guidelines. Scand J Urol Nephrol. 2009;43:471–5.CrossRefPubMed

Cai T, Nesi G, Mazzoli S, et al. Asymptomatic bacteriuria treatment is associated with a higher prevalence of antibiotic resistant strains in women with urinary tract infections. Clin Infect Dis. 2015;61:1655–61.PubMed

Title: Commentary on “Cross-over data supporting long-term antibiotic treatment in patients with painful lower urinary tract symptoms, pyuria, and negative urinalysis”
Author: Sanjay Sinha
Publication date: 01-03-2019
Publisher: Springer International Publishing
Keywords: Antibiotic
Urinary Tract Infection
Pain Syndromes
Urinalysis
Published in: International Urogynecology Journal / Issue 3/2019
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-019-03875-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Commentary on “Cross-over data supporting long-term antibiotic treatment in patients with painful lower urinary tract symptoms, pyuria, and negative urinalysis”

Excerpt

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Excerpt

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