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Factors Determining the Outcome of Chemotherapy in Infections of the Urinary Tract

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Article1 February 1963Factors Determining the Outcome of Chemotherapy in Infections of the Urinary TractROBERT I. LINDEMEYER, M.D., MARVIN TURCK, M.D., ROBERT G. PETERSDORF, M.D., F.A.C.P.ROBERT I. LINDEMEYER, M.D.Search for more papers by this author, MARVIN TURCK, M.D.Search for more papers by this author, ROBERT G. PETERSDORF, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-58-2-201 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe treatment of urinary tract infections has been generally unsatisfactory, and the long histories of repeated instrumentation and multiple courses of antimicrobial therapy interspersed with flare-ups characterized by classical symptoms of "cystitis" or "pyelonephritis" offered by these patients attest to the refractoriness of these infections. Why infections of the urinary tract have been so notoriously resistant to attack with both medical and surgical therapeutic maneuvers is not entirely clear. Among the possible reasons are: failure to remedy obstruction to urine flow; emergence of antibiotic resistant mutants during or after treatment; presence of "mixed infections" in which only the sensitive pathogens...References1. SchaubFoleyScottBailey IGMKEGWR Diagnostic Bacteriology, Edited by , The C. V. Mosby Company, St. Louis, 1958, chap. 6. Google Scholar2. EDWARDSEWING PRWH: In Identification of Enterobacteriaceae, Burgess, Minneapolis, 1955, pp. 137-160. Google Scholar3. TURCKLINDEMEYERPETERSDORF MRIRG: Comparison of single-disc and tubedilution techniques in determining antibiotic sensitivities of Gram-negative pathogens. Ann. Intern. Med.: 58, March, 1963. Google Scholar4. PETERSDORFHOOKCURTINGROSSBERG RGEWJASE: The antimicrobial sensitivity of gram-negative pathogens. Bull. Johns Hopkins Hosp. 108: 48, 1961. MedlineGoogle Scholar5. TURCKLINDEMEYERPETERSDORF MRIRG: Evaluation of a new oral preparation of kanamycin, kanamycin 3-phenyl salicylate in the treatment of infections of the urinary tract. Antimicrob. Agents Chemother. 1962. In press. Google Scholar6. KIMBALLTURCKPETERSDORF HMRG: Unpublished observations. Google Scholar7. LINDEMEYERTURCKPETERSDORF RIMRG: An evaluation of a new antibiotic, actinospectacin, in infections of the urinary tract. Amer. J. Med. Sci.: 244: 478, 1962. CrossrefMedlineGoogle Scholar8. TURCKBROWDERLINDEMEYERBROWNANDERSONPETERSDORF MAARINKKNRG: Failure of prolonged treatment of chronic urinary tract infections with antibiotics. New Engl. J. Med.: 267: 999, 1962. CrossrefMedlineGoogle Scholar9. MCCABEJACKSONGRIEBLE WRGGHG: Treatment of chronic pyelonephritis. II. Short-term intravenous administration of single and multiple antibacterial agents: acidosis and toxic nephropathy from a preparation of intravenous nitrofurantoin. Arch. Intern. Med. 104: 710, 1959. CrossrefGoogle Scholar10. MURDOCHGEDDESSYME JMAMJ: Studies with kanamycin sulfate. Lancet 1: 457, 1962. CrossrefMedlineGoogle Scholar11. TURCKPETERSDORF MRG: The epidemiology of non-enteric escherichia coli infections: prevalence of serologic groups. J. Clin. Invest.: 41: 1760, 1962. CrossrefMedlineGoogle Scholar12. GROSSBERGPETERSDORFCURTINBENNETT SERGJAIL: Factors influencing the species and antimicrobial resistance of urinary pathogens. Amer. J. Med. 32: 44, 1962. CrossrefMedlineGoogle Scholar13. TURCKFOURNIERPETERSDORF MMRRG: Laboratory and clinical studies of Escherichia coli infections, in Antimicrobial Agents and Chemotherapy, 1961, Brown Brumfield, Ann Arbor, 1962, pp. 113-120. Google Scholar14. KIRBYROBERTSBURDICK WMCERE: Comparison of two new tetracyclines with tertacycline and demethylchlortetracycline, in Antimicrobial Agents and Chemotherapy, 1961, Brown Brumfield, Ann Arbor, 1962, pp. 286-292. Google Scholar15. FINLAND M: Emergence of antibiotic-resistant bacteria. New Engl. J. Med. 253: 969, 1955. CrossrefMedlineGoogle Scholar16. KUNINZACHAPAQUIN CMEAJ: Urinary tract infections in school children. I. Prevalence of bacteriuria and associated urologic findings. New Engl. J. Med. 266: 1287, 1962. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: ROBERT I. LINDEMEYER, M.D.; MARVIN TURCK, M.D.; ROBERT G. PETERSDORF, M.D., F.A.C.P.Affiliations: Seattle, WashingtonFrom the Department of Medicine, University of Washington School of Medicine, and King County Hospital, Seattle, Washington.Supported by training grant 2E-146, United States Public Health Service, and in part by grants from Bristol Laboratories, the Upjohn Company, and E. I. du Pont de Nemours and Company.Dr. Lindemeyer is a trainee of the United States Public Health Service.Requests for reprints should be addressed to Robert G. Petersdorf, M.D., The King County Hospital System, 325 Ninth Avenue, Seattle 4, Washington. Nextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byFour Decades of Academia: A Personal PerspectiveUrinary Tract InfectionsTreatment duration for urinary tract infections in adultsClinical Management of Urinary Tract InfectionRecurrent urinary tract infections in men: a role for aberrant bacterial forms?Harnwegsinfekte und primär abakterielle chronisch-interstitielle NephritidenRecurrent urinary tract infections in men: an assessment of contemporary treatmentTherapy of Recurrent Invasive Urinary-Tract Infections of MenClinical experience with indanyl carbenicillin in urinary tract infectionsAmoxicillin, a New Penicillin AntibioticEvaluation of a New Cephalosporin Antibiotic, CephapirinBacteriuria in the Aged: A Study of its Prevalence and Predisposing Lesions in a Chronically Ill PopulationDiagnosis and Treatment of Urinary Tract InfectionsUrinary Tract InfectionsSTUDIES IN URINARY TRACT INFECTIONSAbacterial and Bacterial PyelonephritisPrevention of Recurrent Bacteriuria with Continuous Chemotherapy U. S. Public Health Service Cooperative StudyRICHARD B. FREEMAN, M.D., F.A.C.P., LOUIS BROMER, B.A., FRANK BRANCATO, PH.D., STANFORD I. COHEN, M.D., CLAUDE F. GARFIELD, M.D., ROBERT J. GRIEP, M.D., EDWARD J. HINMAN, M.D., JAMES A. RICHARDSON, M.D., F.A.C.P., RICHARD H. THURM, M.D., F.A.C.P., CHRISTFRIED URNER, M.D., WILLIAM M. SMITH, M.D., F.A.C.P.Optimal Duration of Treatment of Chronic Urinary Tract InfectionMARVIN TURCK, M.D., F.A.C.P., ROBERT G. PETERSDORF, M.D., F.A.C.P.Relapse and Reinfection in Chronic BacteriuriaPyelonephritis und chronische interstitielle NephritisTHE ROLE OF ANTIBIOTICS, VASOACTIVE DRUGS AND STEROIDS IN GRAM-NEGATIVE BACTEREMIABROAD-SPECTRUM PENICILLINS AND OTHER ANTIBIOTICS IN THE TREATMENT OF URINARY TRACT INFECTIONS1 Polypeptide Antibiotics of Medicinal InterestA Critical Evaluation of Nalidixic Acid in Urinary-Tract InfectionsRelapse and Reinfection in Chronic BacteriuriaConservative Management of Chronic Renal FailureKANAMYCIN IN URINARY TRACT INFECTIONSMethods and significance of in vitro testing of bacterial sensitivity to drugsLaboratory and Clinical Evaluation of a New Antibiotic—CephalothinMARVIN TURCK, M.D., KENNETH N. ANDERSON, M.D., RONALD H. SMITH, M.D, JAMES F. WALLACE, M.D., ROBERT G. PETERSDORF, M.D., F.A.C.P.Treatment of PyelonephritisRECURRENT URINARY INFECTIONS IN GIRLS 1 February 1963Volume 58, Issue 2Page: 201-216KeywordsEscherichia coliEscherichia coli infectionsGastroenterology and hepatologyHospital medicineMedical servicesPathogensPyelonephritisUrinary tract infectionsUrine ePublished: 1 December 2008 Issue Published: 1 February 1963 Copyright & PermissionsCopyright ©, 1963, by The American College of PhysiciansPDF downloadLoading ...

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