Vignette Highlights Management of Recurrent UTI in Older Men

Share this content:
Vignette Highlights Management of Recurrent UTI in Older Men
Vignette Highlights Management of Recurrent UTI in Older Men

FRIDAY, Feb. 12, 2016 (HealthDay News) -- In a case vignette published in the Feb. 11 issue of the New England Journal of Medicine, recommendations are presented for management of recurrent acute febrile urinary tract infections in older men.

Anthony J. Schaeffer, M.D., from the Northwestern University Feinberg School of Medicine in Chicago, and Lindsay E. Nicolle, M.D., from the University of Manitoba in Winnipeg, Canada, discuss evaluation and management of a case of a 79-year-old man with extended-spectrum beta-lactamase Escherichia coli. The patient had a similar infection several months earlier, with the same organism isolated.

The authors note that the patient described in the vignette had chronic bacterial prostatitis with extended spectrum beta-lactamase E. coli infection. A referral to a urologist for cultures to localize the infection to the prostate was recommended. Correction should be considered if abnormalities are identified on upper urinary tract imaging. A 30-day course is recommended if testing to localize the infection to the prostate is positive and the organism is sensitive to fluoroquinolone or trimethoprim-sulfamethoxazole. Alternative agents that penetrate the prostate may be considered if the bacteria are not sensitive to these agents. Watchful waiting, intermittent self-initiated therapy, or suppressive therapy should be considered if initial therapy fails or relapse occurs. If the patient is prescribed long-term suppressive therapy, the dose and frequency should be adjusted to a level that would be adequate to prevent recurrent symptoms of urinary tract infections.

"The patient should be aware of potential adverse effects of long-term antimicrobial therapy," the authors write.

One author disclosed financial ties to the biopharmaceutical industry.

Full Text (subscription or payment may be required)

Share this content:

is free, fast, and customized just for you!

Already a member?

Sign In Now »


Sign up for myCME e-newsletters


Drug Lookup

Browse drugs by: BrandGenericDisease


More in Home

CDC: Too Many Health Care Workers Not Getting Flu Vaccine

CDC: Too Many Health Care Workers Not Getting ...

Vaccination protects both workers and patients

Early Mobilization Improves Outcomes, LOS in Surgical ICUs

Early Mobilization Improves Outcomes, LOS in Surgical ICUs

Patients discharged sooner, become more functional when they leave the hospital

is free, fast, and customized just for you!

Already a member?

Sign In Now »