Letters Uncomplicated lower urinary tract infections

Urinary infections are complex and hard to treat

BMJ 2017; 359 doi: https://doi.org/10.1136/bmj.j5766 (Published 18 December 2017) Cite this as: BMJ 2017;359:j5766
  1. James Malone-Lee, emeritus professor of medicine
  1. University College London, London N8 8JD, UK
  1. james.malone-lee{at}ucl.ac.uk

Kronenberg and colleagues find that a quinolone beats a non-steroidal anti-inflammatory drug at treating dipstick positive urinary tract infections (UTIs).1 Why are we testing this? We have vastly more serious problems.

Culture of 103-106 colony forming units per µl of a pathogen is insensitive,2 and dipsticks are even worse.3 Dismissing UTI on dipstick or culture data confuses “no …

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