Journal article
Variation by Specialty in the Treatment of Urinary Tract Infection in Women
Journal of general internal medicine : JGIM, v 14(8), pp 491-494
Aug 1999
PMID: 10491234
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
To determine practicing physicians' strategies for diagnosing and managing uncomplicated urinary tract infection, we surveyed physicians in general internal medicine, family practice, obstetrics and gynecology, and emergency medicine in four states. Responses differed significantly by respondents' specialty. For example, nitrofurantoin was the antibiotic of first choice for 46% of obstetricians, while over 80% in the other specialties chose trimethoprim-sulfamethoxazole. Most surveyed said they do not usually order urine culture, but the percentage who do varied by specialty. Most use a colony count of 10
5
colony-forming units or more for diagnosis although evidence favors a lower threshold, and 70% continue antibiotic therapy even if the culture result is negative. This survey found considerable variation by specialty and also among individual physicians regarding diagnosis and treatment of urinary tract infection and also suggests that some of the new information from the literature has not been translated to clinical practice.
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Details
- Title
- Variation by Specialty in the Treatment of Urinary Tract Infection in Women
- Creators
- Robert S Wigton - University of Nebraska Medical CenterJ Craig Longenecker - Abington Memorial HospitalTeresa J Bryan - University of Alabama at BirminghamConnie Parenti - University of MinnesotaStephen D Flach - University of Nebraska Medical CenterThomas G Tape - University of Nebraska Medical Center
- Publication Details
- Journal of general internal medicine : JGIM, v 14(8), pp 491-494
- Publisher
- Blackwell Science Inc
- Number of pages
- 4
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Epidemiology and Biostatistics
- Web of Science ID
- WOS:000082237300006
- Scopus ID
- 2-s2.0-0032867242
- Other Identifier
- 991022051415604721
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