The DOI matches its Crossref record; 3 of the 3 references it cites were found in a registry or an index.
The Diagnosis of Urinary Tract Infection
Open accessAbstract
BACKGROUND: Urinary tract infections (UTI) are among the leading reasons for treatment in adult primary care medicine, accounting for a considerable percentage of antibiotic prescriptions. Because this problem is so common and so significant in routine clinical practice, a high level of diagnostic accuracy is essential. Antibiotics should not be prescribed excessively, particularly in view of the increasing prevalence of antibiotic resistance. METHOD: Systematic review of relevant articles that were retrieved by a search of the Medline, Embase, and Cochrane Library databases. The recommendations of selected international guidelines were also taken into account, as were the German national quality standards for microbiological diagnosis. RESULTS: The diagnosis of UTI by clinical criteria alone has an error rate of approximately 33%. The use of refined diagnostic algorithms does not completely eliminate uncertainty. CONCLUSION: With the aid of a small number of additional diagnostic criteria, antibiotic treatment for UTI can be provided more specifically and thus more effectively. Differentiating UTI from asymptomatic bacteriuria, which usually requires no treatment, can lower the frequency of unnecessary antibiotic prescriptions.
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Cites
The urine dipstick test useful to rule out infections. A meta-analysis of the accuracy
Devillé, W. L., Yzermans, J. C., van Duijn, N. P., Bezemer, P. D., van der Windt, D. A., & Bouter, L. M. (2004) · BMC Urology · doi:10.1186/1471-2490-4-4 · Cited by 519
Little, P., Turner, S., Rumsby, K., Warner, G., Moore, M., Lowes, J., Smith, H., Hawke, C., Turner, D., Leydon, G., et al. (2009) · Health Technology Assessment · doi:10.3310/hta13190 · Cited by 137
Fihn, S. D., Boyko, E. J., Normand, E. H., Chen, C.-L., Grafton, J. R., Hunt, M., Yarbro, P., Scholes, D., & Stergachis, A. (1996) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a008958 · Cited by 96
Cited by
The epidemiology of urinary tract infection
Foxman, B. (2010) · Nature Reviews Urology · doi:10.1038/nrurol.2010.190 · Cited by 1,771
Urinary cell-free DNA is a versatile analyte for monitoring infections of the urinary tract
Burnham, P., Dadhania, D., Heyang, M., Chen, F., Westblade, L. F., Suthanthiran, M., Lee, J. R., & De Vlaminck, I. (2018) · Nature Communications · doi:10.1038/s41467-018-04745-0 · Cited by 160
Metadata
- Authors
- Schmiemann, G., Kniehl, E., Gebhardt, K., Matejczyk, M. M., & Hummers-Pradier, E.
- Venue
- Deutsches Ärzteblatt international
- Publisher
- Deutscher Arzte-Verlag GmbH
- Published
- 2010-05-28
- Volume
- 107
- Issue
- 21
- Pages
- 361-7
- ISSN
- 1866-0452 (ISSN-L)
- OpenAlex
- W1511667485
- Cited by
- 440
- References
- 3
- FWCI
- 10.48
- Type
- journal article
- Language
- de
- Open access
- green
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- Schmiemann, G., Kniehl, E., Gebhardt, K., Matejczyk, M. M., & Hummers-Pradier, E. (2010). The Diagnosis of Urinary Tract Infection. Deutsches Ärzteblatt international. https://doi.org/10.3238/arztebl.2010.0361
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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