Dipsticks and diagnostic algorithms in urinary tract infection: development and validation, randomised trial, economic analysis, observational cohort, and qualitative study

Little, P; Turner, S; Rumsby, K; Warner, G; Moore, M; Lowes, JA; Smith, H; Hawke, C; Turner, D; Leydon, GM; Arscott, A; Mullee, M

doi:10.3310/hta13190

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Study found that, to achieve good symptom control and reduce antibiotic use in urinary tract infection, clinicians should probably either offer a 48-hour delayed antibiotic prescription to be used at the patient's discretion or target antibiotic treatment by dipsticks (positive nitrite or positive leucocytes and blood), with the offer of a delayed prescription if dipstick results are negative.

P Little, S Turner, K Rumsby, G Warner, M Moore, JA Lowes, H Smith, C Hawke, D Turner, GM Leydon, A Arscott & M Mullee.

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P Little ^1,^*, S Turner ¹, K Rumsby ¹, G Warner ², M Moore ³, JA Lowes ⁴, H Smith ^1,⁵, C Hawke ⁶, D Turner ⁷, GM Leydon ¹, A Arscott ¹, M Mullee ¹

¹ Community Clinical Sciences Division (CCS), University of Southampton, , UK
² Nightingale Surgery, Greatwell Drive, Romsey, UK
³ Three Swans Surgery, Rollestone Street, Salisbury, UK
⁴ Southampton Health Protection Agency Laboratory, Southampton, UK
⁵ Brighton Medical School, Brighton, UK (present address)
⁶ School of Rural Health, University of Sydney, , Australia
⁷ Wessex Institute, University of Southampton, , UK
^* Corresponding author Email: p.little@soton.ac.uk

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