Urinary tract infection. How has its management changed?
In patients with apparent urinary tract infection, clinical presentation and results of physical examination and a few simple laboratory studies can identify patients who need urine culture and/or imaging studies and can guide initial therapy. A wide variety of effective antibiotics are available for various causes, and local patterns of microbial sensitivity and cost-effectiveness help govern drug selection. Response to therapy governs further treatment and follow-up. Exclusion of complicated infection and particular risk factors permits simplified but effective management of symptomatic recurrent infections.
Forland
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Office of the Medical Dean, University of Texas Medical School, San Antonio 78284.
D000892:Anti-Infective Agents, Urinary / Q000627:therapeutic use; D001424:Bacterial Infections / Q000175:diagnosis / Q000188:drug therapy; D006801:Humans; D008297:Male; D011472:Prostatitis / Q000188:drug therapy; D011704:Pyelonephritis / Q000175:diagnosis / Q000188:drug therapy; D012008:Recurrence; D014552:Urinary Tract Infections / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology
D000892:Anti-Infective Agents, Urinary