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We commonly use #nitrofurantoin to treat #UTI and even sometimes as prophylaxis for recurrent infections.
Super safe #antibiotic but a reminder that rarely it can cause serious complications #lung #fibrosis
@infectiousdiseases @microbiology #IDMastodon #MedMastodon #medicine
Chronic Nitrofurantoin-Induced Lung Injury
@gpollara @infectiousdiseases @microbiology What are your thoughts on d-mannose for recurrent e.coli UTI?
@noodle @infectiousdiseases @microbiology we definitely use it alongside or often after trying methenamine. However, evidence for its efficacy remains scant. This is the best evidence from an open-label #RCT https://link.springer.com/article/10.1007/s00345-013-1091-6
#recurrent #UTI #IDMastodon #infectiousdiseases #medicine #MedMastodon
@gpollara @infectiousdiseases @microbiology
Thanks for the link!
I've had very poor performance with menthanamine, I think because my patients take alkalinisation agents despite being told not to. In a primary care setting my experience with D-mannose in pure E.coli recurrent UTI in otherwise well patients is probably a little better than that RCT showed...... I should make time to formally audit or RCT this...... After my current projects.