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Urinary Tract Infection Duration of Treatment in Male Veterans

Brynn Riveland, Emily Potter, Melinda Gaddy, Gunther Wehrman

Background: This study aims to determine if longer antimicrobial treatment duration (>7 days) for UTI in male outpatient veterans is associated with a difference in early or late recurrence rates compared to a shorter antimicrobial treatment duration (≤ 7 days).

Methods: This study included adult, male patients of VA Eastern Kansas Health Care System with an index UTI episode between August 1st, 2020 and August 1st, 2021. If UTI recurred, infection was classified as either early (≤ 30 days) or late (>30 days) recurrence. Logistic regression models were used to evaluate the duration of antimicrobial treatment on recurrence.

Results: The effects of duration of treatment on early recurrence (P:0.5041, OR:0.660, CI:0.194-2.237) and duration of treatment on late recurrence (P:0.5024, OR:0.703, CI:0.251-1.969) both showed statistical insignificance.

Conclusion: There was no difference between long and short duration on both early and late recurrence, therefore it may not be necessary for male patients to be treated for the recommended longer duration of treatment.