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Symptomatic treatment of uncomplicated lower urinary tract infections in the ambulatory setting: randomised, double blind trial

BMJ 2017; 359 doi: https://doi.org/10.1136/bmj.j4784 (Published 08 November 2017) Cite this as: BMJ 2017;359:j4784

Re: Symptomatic treatment of uncomplicated lower urinary tract infections in the ambulatory setting: randomised, double blind trial

The aim of the study to assess NSAIDs over antibiotics for uncomplicated UTIs is a clinically useful question. It is difficult to see why the NSAID chosen was one with a high level of cardiovascular side effects (see the BNF). Rather than a more clinically useful NSAID, with a lower risk profile, such as ibuprofen or naproxen.
It is a shame that the usefulness of the study is reduced by the choice of high risk NSAID.

Competing interests: No competing interests

14 November 2017
Simon Ross Deveau
Advanced Clinical Practitioner
UK