Letters Antibiotics without prescription for urinary tract infection

The danger of underlying Chlamydia trachomatis infection in treating urinary tract infection with over-the-counter antibiotics

BMJ 2015; 351 doi: https://doi.org/10.1136/bmj.h4423 (Published 18 August 2015) Cite this as: BMJ 2015;351:h4423
  1. S-J Winceslaus, consultant, genitourinary medicine/HIV1,
  2. Sivaraj Venkateshwaran, specialty doctor1
  1. 1Riverside Clinic, Gravesham Community Hospital, Kent Community Health NHS Foundation Trust, Gravesend DA11 0DG, UK
  1. joseph.winceslaus{at}kentcht.nhs.uk

Knox makes a compelling case for women with acute uncomplicated urinary tract infections (UTIs) to access nitrofurantoin without prescription but fails to mention an important drawback to this practice.1 Both UTIs and genital sexually transmitted infections (STIs) are common in sexually active young women, so women with lower UTI …

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