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Uti questioning medicine podcast

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16 papers 0 to 25 followers
By Andrew Buelt Questioningmedicine, intern in residency
https://www.readbyqxmd.com/read/25180378/effectiveness-of-cranberry-capsules-to-prevent-urinary-tract-infections-in-vulnerable-older-persons-a-double-blind-randomized-placebo-controlled-trial-in-long-term-care-facilities
#1
RANDOMIZED CONTROLLED TRIAL
Monique A A Caljouw, Wilbert B van den Hout, Hein Putter, Wilco P Achterberg, Herman J M Cools, Jacobijn Gussekloo
OBJECTIVES: To determine whether cranberry capsules prevent urinary tract infection (UTI) in long-term care facility (LTCF) residents. DESIGN: Double-blind randomized placebo-controlled multicenter trial. SETTING: Long-term care facilities (LTCFs). PARTICIPANTS: LTCF residents (N = 928; 703 women, median age 84). MEASUREMENTS: Cranberry and placebo capsules were taken twice daily for 12 months...
January 2014: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/24310806/cranberries-for-preventing-urinary-tract-infections
#2
COMMENT
Geraldo de Campos Freire
BACKGROUND: Cranberries have been used widely for several decades for the prevention and treatment of urinary tract infections (UTIs). This is the third update of our review first published in 1998 and updated in 2004 and 2008. OBJECTIVES: To assess the effectiveness of cranberry products in preventing UTIs in susceptible populations. METHODS: HASH(0x3bd4900) SEARCH METHODS: We searched MEDLINE, EMBASE, the Cochrane Central Register of Controlled Trials (CENTRAL in The Cochrane Library) and the Internet...
2013: São Paulo Medical Journal, Revista Paulista de Medicina
https://www.readbyqxmd.com/read/24019276/toward-a-simple-diagnostic-index-for-acute-uncomplicated-urinary-tract-infections
#3
Bart J Knottnerus, Suzanne E Geerlings, Eric P Moll van Charante, Gerben Ter Riet
PURPOSE: Whereas a diagnosis of acute uncomplicated urinary tract infection (UTI) in clinical practice comprises a battery of several diagnostic tests, these tests are often studied separately (in isolation from other test results). We wanted to determine the value of history and urine tests for diagnosis of uncomplicated UTIs, taking into account their mutual dependencies and information from preceding tests. METHODS: Women with painful and/or frequent micturition answered questions about their signs and symptoms (history) of UTIs and underwent urine tests...
September 2013: Annals of Family Medicine
https://www.readbyqxmd.com/read/23585603/cranberry-for-preventing-urinary-tract-infection
#4
G Michael Allan, Lindsay Nicolle
No abstract text is available yet for this article.
April 2013: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/23344279/contamination-rates-of-three-urine-sampling-methods-to-assess-bacteriuria-in-pregnant-women
#5
COMPARATIVE STUDY
Caroline Schneeberger, Edwin R van den Heuvel, Jan Jaap H M Erwich, Ronald P Stolk, Caroline E Visser, Suzanne E Geerlings
OBJECTIVE: To estimate and compare contamination rates of three different urine-sampling methods in pregnant women to assess bacteriuria. METHODS: In this cross-sectional study, 113 pregnant women collected three different midstream urine samples consecutively: morning (first void); midstream (void without further instructions); and clean-catch sample (void after cleaning). The following end points were considered contaminants: epithelial cells, Gram-positive rods or mixed bacteria in the Gram stain, and mixed growth or skin flora in the urine culture...
February 2013: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/23305196/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
#6
Anthony S Kupelian, Harry Horsley, Rajvinder Khasriya, Rasheedah T Amussah, Raj Badiani, Angela M Courtney, Nihil S Chandhyoke, Usama Riaz, Karishma Savlani, Malik Moledina, Samantha Montes, Dominic O'Connor, Rakhee Visavadia, Michael Kelsey, Jennifer L Rohn, James Malone-Lee
UNLABELLED: WHAT'S KNOWN ON THE SUBJECT? AND WHAT DOES THE STUDY ADD?: Microscopic pyuria is widely used as a surrogate marker of infection, although there is little data supporting its use in patients who present with non-acute LUTS. The effects of urinary storage, preservation, and the use of laboratory methods to enhance leucocyte detection, are also unclear. This large, prospective study highlights the poor performance of dipstick urine analysis, and direct microscopy, as surrogate markers of UTI in patients with LUTS...
July 2013: BJU International
https://www.readbyqxmd.com/read/23076891/cranberries-for-preventing-urinary-tract-infections
#7
REVIEW
Ruth G Jepson, Gabrielle Williams, Jonathan C Craig
BACKGROUND: Cranberries have been used widely for several decades for the prevention and treatment of urinary tract infections (UTIs). This is the third update of our review first published in 1998 and updated in 2004 and 2008. OBJECTIVES: To assess the effectiveness of cranberry products in preventing UTIs in susceptible populations. SEARCH METHODS: We searched MEDLINE, EMBASE, the Cochrane Central Register of Controlled Trials (CENTRAL in The Cochrane Library) and the Internet...
2012: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/22417256/clinical-practice-uncomplicated-urinary-tract-infection
#8
REVIEW
Thomas M Hooton
No abstract text is available yet for this article.
March 15, 2012: New England Journal of Medicine
https://www.readbyqxmd.com/read/22393148/in-the-clinic-urinary-tract-infection
#9
REVIEW
Kalpana Gupta, Barbara Trautner
No abstract text is available yet for this article.
March 6, 2012: Annals of Internal Medicine
https://www.readbyqxmd.com/read/21788542/cranberries-vs-antibiotics-to-prevent-urinary-tract-infections-a-randomized-double-blind-noninferiority-trial-in-premenopausal-women
#10
RANDOMIZED CONTROLLED TRIAL
Mariëlle A J Beerepoot, Gerben ter Riet, Sita Nys, Willem M van der Wal, Corianne A J M de Borgie, Theo M de Reijke, Jan M Prins, Jeanne Koeijers, Annelies Verbon, Ellen Stobberingh, Suzanne E Geerlings
BACKGROUND: The increasing prevalence of uropathogens resistant to antimicrobial agents has stimulated interest in cranberries to prevent recurrent urinary tract infections (UTIs). METHODS: In a double-blind, double-dummy noninferiority trial, 221 premenopausal women with recurrent UTIs were randomized to 12-month prophylaxis use of trimethoprim-sulfamethoxazole (TMP-SMX), 480 mg once daily, or cranberry capsules, 500 mg twice daily. Primary end points were the mean number of symptomatic UTIs over 12 months, the proportion of patients with at least 1 symptomatic UTI, the median time to first UTI, and development of antibiotic resistance in indigenous Escherichia coli...
July 25, 2011: Archives of Internal Medicine
https://www.readbyqxmd.com/read/15972728/response-to-antibiotics-of-women-with-symptoms-of-urinary-tract-infection-but-negative-dipstick-urine-test-results-double-blind-randomised-controlled-trial
#11
RANDOMIZED CONTROLLED TRIAL
Dee Richards, Les Toop, Stephen Chambers, Lynn Fletcher
OBJECTIVE: To assess the effectiveness of antibiotic treatment of women with symptoms of urinary tract infection but negative urine dipstick testing. DESIGN: Prospective, double blind, randomised, placebo controlled trial. SETTING: Primary care, among a randomly selected group of general practitioners in Christchurch, New Zealand. PARTICIPANTS: 59 women aged 16-50 years presenting with a history of dysuria and frequency in whom a dipstick test of midstream urine was negative for both nitrites and leucocytes...
July 16, 2005: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/15095222/laboratory-diagnosis-of-urinary-tract-infections-in-adult-patients
#12
Michael L Wilson, Loretta Gaido
Urinary tract infections (UTIs) are among the most common bacterial infections and account for a significant part of the workload in clinical microbiology laboratories. Enteric bacteria (in particular, Escherichia coli) remain the most frequent cause of UTIs, although the distribution of pathogens that cause UTIs is changing. More important is the increase in resistance to some antimicrobial agents, particularly the resistance to trimethoprim-sulfamethoxazole seen in E. coli. Physicians distinguish UTIs from other diseases that have similar clinical presentations with use of a small number of tests, none of which, if used individually, have adequate sensitivity and specificity...
April 15, 2004: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/12020306/does-this-woman-have-an-acute-uncomplicated-urinary-tract-infection
#13
REVIEW
Stephen Bent, Brahmajee K Nallamothu, David L Simel, Stephan D Fihn, Sanjay Saint
CONTEXT: Symptoms suggestive of acute urinary tract infection (UTI) constitute one of the most common reasons for women to visit clinicians. Although the clinical encounter typically involves taking a history and performing a physical examination, the diagnostic accuracy of the clinical assessment for UTI remains uncertain. OBJECTIVE: To review the accuracy and precision of history taking and physical examination for the diagnosis of UTI in women. DATA SOURCES: We conducted a MEDLINE search for articles published from 1966 through September 2001 and manually reviewed bibliographies, 3 commonly used clinical skills textbooks, and contacted experts in the field...
May 22, 2002: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/11906502/single-dose-ciprofloxacin-versus-3-days-of-norfloxacin-in-uncomplicated-urinary-tract-infections-in-women
#14
RANDOMIZED CONTROLLED TRIAL
F Auquer, F Cordón, E Gorina, J C Caballero, C Adalid, J Batlle
A double-blind, randomized controlled study to evaluate the efficacy and safety of a single dose of 500 mg of ciprofloxacin versus 3 days 400 mg twice-daily of norfloxacin in uncomplicated urinary tract infection in women was designed. Patients underwent four visits: baseline, and at 3, 7 and 28 days. The main efficacy variables were clinical and microbiological outcome at day 7. Analyses on both valid patients and intention-to-treat populations were performed. Two hundred and twenty-six patients (114 receiving ciprofloxacin and 112 receiving norfloxacin) were considered valid for efficacy evaluation...
January 2002: Clinical Microbiology and Infection
https://www.readbyqxmd.com/read/10979067/outpatient-urine-culture-does-collection-technique-matter
#15
RANDOMIZED CONTROLLED TRIAL
E Lifshitz, L Kramer
BACKGROUND: Dysuria is one of the most common presenting complaints of young women, and urinalysis is one of the most common laboratory tests performed. Despite the fact that the midstream clean-catch technique is commonly used for urine collection, contaminated urine cultures occur with distressing regularity. The midstream clean-catch technique is time-consuming to explain, frequently not performed correctly by patients, costly for supplies, often embarrassing for patients and staff, and of unproven benefit...
September 11, 2000: Archives of Internal Medicine
https://www.readbyqxmd.com/read/10871462/limited-clinical-utility-of-blood-and-urine-cultures-in-the-treatment-of-acute-pyelonephritis-during-pregnancy
#16
D A Wing, A S Park, L Debuque, L K Millar
OBJECTIVE: The purpose of this study was to determine the utility of urine and blood cultures in the clinical management of pregnant women with acute pyelonephritis. STUDY DESIGN: Data were pooled from three randomized controlled trials that were conducted at two university-based tertiary care centers and included 391 pregnant women with pyelonephritis. The results of urine and blood cultures were correlated with clinical management decisions, outcome, length of hospital stay, and cost...
June 2000: American Journal of Obstetrics and Gynecology
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