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Correction to Fihn, N Engl J Med 349(3):259-266 July 17, 2003.

Correspondence
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Volume 349:1674-1676 October 23, 2003 Number 17
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Urinary Tract Infection

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by Fihn, S. D.
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To the Editor: In the Clinical Practice article by Fihn on acute uncomplicated urinary tract infection in women (July 17 issue),1 the recommendations for treatment appear to be somewhat out of date. First, the expected rates of clinical failure among women treated with trimethoprim–sulfamethoxazole for acute uncomplicated cystitis are now more secure and suggest that fluoroquinolones or nitrofurantoin should be considered first-line treatment in many parts of the United States. In an Israeli study with a 29 percent rate of in vitro resistance to trimethoprim–sulfamethoxazole, the rate of clinical failure was 23 percent overall and 46 percent among patients with . . . [Full Text of this Article]



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