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Previous Volume 349:259-266 July 17, 2003 Number 3 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.

A 28-year-old woman telephones her physician to report dysuria and urinary urgency during the preceding three days. She has had several previous urinary tract infections, including three during the past year. She is otherwise healthy, takes no medications, and is sexually active, using spermicide-coated condoms for contraception. She says she does not have fever, chills, vaginal discharge, or flank pain. How should . . . [Full Text of this Article]

The Clinical Problem

Strategies and Evidence

Clinical History

Risk Factors

Diagnostic Tests

Treatment

Uncomplicated Acute Pyelonephritis

Follow-up and Evaluation

Recurrent Infections

Areas of Uncertainty

Are There Reliable Predictors of the Failure of Treatment for Acute Cystitis?

What is the Optimal Therapy for Acute Uncomplicated Cystitis?

Is Exogenous Estrogen Effective in Preventing Recurrent Urinary Tract Infections in Postmenopausal Women?

Guidelines

Conclusions and Recommendations

Source Information

From the Northwest Health Services Research and Development Center of Excellence, Veterans Affairs (VA) Puget Sound Health Care System, and the University of Washington — both in Seattle.

Address reprint requests to Dr. Fihn at the Northwest Health Services Research and Development Center of Excellence, VA Puget Sound Health Care System (152), 1660 S. Columbian Way, Seattle WA 98108, or at sfihn@u.washington.edu.

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• Talan, D. A., Hoey, R., Probst, F., Fihn, S. D. (2003). Urinary Tract Infection. NEJM 349: 1674-1676 [Full Text]