Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Where We Are Indexed
Past Issue Archives
Clinical Communication
In Review
Editorial Board
Information for Authors
Author Form

Reprints, Permissions, & Copyright
Site Map
BACK ISSUE articles are $15 each.
International credit cards NOT accepted.

JCOM Paid Subscribers
user name:
Forgot password?

JCOM Abstract

J Clin Outcomes Manage 
2007 Jan;14(1):41-46
Telephone management of presumed cystitis in women: factors associated with recurrence
Vinson DR, Quesenberry CP

Abstract Objective:??To determine the factors associated with short-term risk for urinary tract infection (UTI) recurrence after telephone management of cystitis. Patients and setting: Retrospective cohort study of consecutive patients treated by a regional call center of a large group-model health maintenance organization. A total of 4177 women, aged 16 to 97 years (median, 39 years), were managed over the telephone for presumed cystitis with 3 to 7 days of oral antimicrobial therapy. 2933 (70.2%) received cephalexin 250 mg 4 times daily; 600 (14.4%) received trimethoprim-sulfamethoxazole double-strength twice daily; 408 (9.8%) received nitrofurantoin 100 mg 4 times daily; and 236 (5.7%) received ciprofloxacin 250 mg twice daily. Main outcome measure: UTI recurrence within 6 weeks of index telephone management. Results: During the 6-week follow-up period, 644 women (15.4%; 95% confidence interval [CI], 14.3%16.6%) were diagnosed with UTI. Two factors were independently associated with recurrence in a Cox proportional hazards model: age ? 70 years (P = 0.003) and antimicrobial selection (P = 0.031). Adjusted hazard ratios in reference to trimethoprim-sulfamethoxazole showed a significant risk reduction only with cephalexin: cephalexin, 0.75 (95% CI, 0.610.93); ciprofloxacin, 0.85 (95% CI, 0.591.22); and nitrofurantoin, 0.95 (95% CI, 0.701.28). Conclusion: Short-term risk for UTI recurrence after telephone management of presumed cystitis is associated with advanced age and antimicrobial selection. These factors may be useful for identifying patients who may benefit from more aggressive management or careful follow-up.

Original Research

Search the Turner White index to find abstracts of articles published in JCOM.

New issues are posted one month following publication of the printed journal.

View past issue archives:    2013    2012    2011    2010    2009    2008    2007
   2006    2005    2004    2003     2002     2001     2000     1999

Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2018, Turner White Communications
Updated 1/20/14 • jdw