UTI in men: 7 day Rx okay
A recent randomized controlled trial found that for men with urinary tract infections, 7 days of antibiotics was as good as 14 days (see UTI men 7 day rx JAMA2023 in dropbox or doi:10.1001/jama.2021.9899), finding noninferiority of the 2 treatment durations Details : -- 272 men from two VA medical centers were enrolled in the study to determine whether 7 days of UTI treatment was as good as 14 days, using either ciprofloxacin or trimethoprim/sulfamethoxazole (TMP/SMX). The study was f rom 2014-2020. All men were afebrile -- mean age 69, 79% white/19% Black, Charlson comorbidity index 1 (i.e. not very sick), -- prior UTI in 60%, BPH in 38%, urinary incontinence in 35%, intermittent catheter use in 18%, prostate cancer 16%, urethral stricture 13%, prior prostatitis 12% -- diabetes 34%, stroke 7%, spinal cord injury 4%, CKD 8% -- symptoms: dysuria 67%, frequency 55%, urgency 33% -- urinalysis ...