Journal ArticleDOI
Management of urinary tract infections in adults.
Walter E. Stamm,Thomas M. Hooton +1 more
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TLDR
This review will highlight recent advances in the treatment of patients in each of these categories, emphasizing cost-effective strategies that may be particularly important in the coming era.Abstract:
Urinary tract infections account for more than 7 million visits to physicians' offices and necessitate or complicate well over 1 million hospital admissions in the United States annually1,2. It is helpful to categorize adult patients with urinary infection into five groups: young women with acute uncomplicated cystitis, young women with recurrent cystitis, young women with acute uncomplicated pyelonephritis, all adults with complicated urinary infection, and all adults with asymptomatic bacteriuria. This review will highlight recent advances in the treatment of patients in each of these categories, emphasizing cost-effective strategies that may be particularly important in the coming era . . .read more
Citations
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Journal ArticleDOI
Diagnosis, Prevention, and Treatment of Catheter-Associated Urinary Tract Infection in Adults: 2009 International Clinical Practice Guidelines from the Infectious Diseases Society of America
Thomas M. Hooton,Suzanne F. Bradley,Diana D. Cardenas,Richard Colgan,Suzanne E. Geerlings,James C. Rice,Sanjay Saint,Anthony J. Schaeffer,Paul A. Tambayh,Peter Tenke,Lindsay E. Nicolle +10 more
TL;DR: These guidelines are intended for use by physicians in all medical specialties who perform direct patient care, with an emphasis on the care of patients in hospitals and long-term care facilities.
Journal ArticleDOI
Epidemiology of urinary tract infections: Incidence, morbidity, and economic costs
TL;DR: According to the National Ambulatory Medical Care Survey (NAMCS) as discussed by the authors, the most common bacterial infection in the United States is UTI, accounting for nearly 7 million office visits and 1 million emergency department visits, resulting in 100,000 hospitalizations.
Journal ArticleDOI
Epidemiology of urinary tract infections: Incidence, morbidity, and economic costs
TL;DR: UTI elevates the risk of pyelonephritis, premature delivery, and fetal mortality among pregnant women, and is associated with impaired renal function and end-stage renal disease among pediatric patients, and the estimated annual cost of community-acquired UTI is significant, at approximately $1.6 billion.
Guidelines on Urological Infections
Magnus Grabe,Riccardo Bartoletti,T. Tony Cai,Béla Köves,Peter Tenke,Florian M.E. Wagenlehner,Björn Wullt +6 more
TL;DR: It is essential to limit the use of antibiotics in general and fluoroquinolones and cephalosporins in particular, especially in uncomplicated infections and asymptomatic bacteriuria.
Journal ArticleDOI
The etiology of urinary tract infection: traditional and emerging pathogens.
TL;DR: In this paper, Escherichia coli remains the predominant uropathogen (80%) isolated in acute community-acquired uncomplicated infections, followed by Staphylococcus saprophyticus (10% to 15%), Klebsiella, Enterobacteriaceae, and Proteus species, and enterococci infrequently cause cystitis and pyelonephritis.
References
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Journal ArticleDOI
Tobramycin resistance of Pseudomonas aeruginosa cells growing as a biofilm on urinary catheter material.
TL;DR: Data indicate that growth within thick adherent biofilms confers a measure of tobramycin resistance on cells of P. aeruginosa.
Journal ArticleDOI
A controlled trial of intravaginal estriol in postmenopausal women with recurrent urinary tract infections
Raul Raz,Walter E. Stamm +1 more
TL;DR: The intravaginal administration of estriol prevents recurrent urinary tract infection in postmenopausal women, probably by modifying the vaginal flora.
Journal ArticleDOI
The nationwide nosocomial infection rate. A new need for vital statistics.
TL;DR: If adjustments are made for the accuracy of the diagnostic method, the increasing nationwide secular trend, and the number of nosocomial infections in nursing homes, however, as many as 4 million nosocomIAL infections per year may now be occurring.
Journal ArticleDOI
Diagnosis of Coliform Infection in Acutely Dysuric Women
Walter E. Stamm,George W. Counts,Katherine Running,Stephen D Fihn,Marvin Turck,King K. Holmes +5 more
TL;DR: Clinicians and microbiologists should alter their approach to the diagnosis and treatment of women with acute symptomatic coliform infection of the lower urinary tract by finding the best diagnostic criterion to be greater than or equal to 10(2) bacteria per milliliter.
Journal ArticleDOI
A Prospective Microbiologic Study of Bacteriuria in Patients with Chronic Indwelling Urethral Catheters
TL;DR: The very high prevalence of bacteriuria--virtually 100%--was a result of a high incidence caused by many different species combined with the prolonged residence of some gram-negative bacilli in the catheter and urinary tract.
Related Papers (5)
Diagnosis and treatment of uncomplicated urinary tract infection
Thomas M. Hooton,Walter E. Stamm +1 more
A controlled trial of intravaginal estriol in postmenopausal women with recurrent urinary tract infections
Raul Raz,Walter E. Stamm +1 more