Evidence map›Paper›PMID 33234514›Full record

ArticleBJGP open2021

Treatment of uncomplicated UTI in males: a systematic review of the literature.

Karen Farrell, Meera Tandan, Virginia Hernandez Santiago, Ildiko Gagyor, Anja Maria Braend, Marius Skow, Ingvild Vik, Filip Jansaaker, Gail Hayward, Akke Vellinga

Open access · goldAbstract read
In one paragraph

Article in BJGP open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
0.9field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 25 citations in OpenAlex.

  1. Uncomplicated Urinary Tract Infections: From an Invisible Impact to a Visible Change in Complex Care.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Article
  2. Article
  3. Article
  4. Observational
  5. Review
  6. Article
  7. Article
  8. IJID regions · 2025
    Article
  9. Article
  10. Article
  11. Short-course intravenous beta-lactams for uncomplicated cystitis in hospitalized patients.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2025
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. High antimicrobial resistance in urinary tract infections in male outpatients in routine laboratory data, Germany, 2015 to 2020.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2022
    Observational
  18. In vitro Studies of Non-DiphtheriaeInfection and drug resistance · 2022
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 8 institutions in 8 countries.

Karen FarrellDepartment of General Practice, HRB Primary Care Clinical Trials Network Ireland, School of Medicine, National University of Ireland, Galway, Ireland.
Meera TandanCecil G Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, US.
Virginia Hernandez SantiagoDivision of Population and Behavioural Sciences, School of Medicine, University of St Andrews, St Andrews, UK.
Ildiko GagyorDepartment of General Practice, Universitatsklinikum Wurzburg, Wurzburg, Bavaria, Germany.
Anja Maria BraendThe Antibiotic Centre for Primary Care, Department of General Practice, Institute of Health and Society, University of Oslo, Oslo, Norway.
Marius SkowThe Antibiotic Centre for Primary Care, Department of General Practice, Institute of Health and Society, University of Oslo, Oslo, Norway.
Ingvild VikThe Antibiotic Centre for Primary Care, Department of General Practice, Institute of Health and Society, University of Oslo, Oslo, Norway.
Filip JansaakerDepartment of Clinical Microbiology, Rigshospitalet, Kobenhavn, Denmark.
Gail HaywardNuffield Department of Primary Care Health Science, University of Oxford, Oxford, UK.
Akke VellingaSchool of Medicine, National University of Ireland, Galway, Ireland akke.vellinga@nuigalway.ie.
Primary Health Care · QAUniversity of Oslo · NOIndiana University School of MedicineNational University of Ireland · IEUniversitätsklinikum Würzburg · DEUniversity of North Carolina at Chapel Hill · USUniversity of Oxford · GBUniversity of St Andrews · GB

Funding

Department of Health NIHR300105
6 · The paper itself

Abstract

backgroundUrinary tract infections (UTIs) affect around 20% of the male population in their lifetime. The incidence of UTIs in men in the community is 0.9-2.4 cases per 1000 aged <55 years and 7.7 per 1000 aged ≥85 years.

aimTo evaluate the outcomes of randomised controlled trials (RCTs) comparing the effectiveness of different antimicrobial treatments and durations for uncomplicated UTIs in adult males in outpatient settings.

methodA systematic literature review of RCTs of adult male patients with an uncomplicated UTI treated with oral antimicrobials in any outpatient setting. The outcomes were symptom resolution within 2 weeks of starting treatment, duration until symptom resolution, clinical cure, bacteriological cure, and frequency of adverse events.

resultsFrom the 1052 abstracts screened, three provided sufficient information on outcomes. One study compared trimethoprim-sulfamethoxazole for 14 days (21 males) with 42 days (21 males). Fluoroquinolones were compared in the two other RCTs: lomefloxacin (10 males) with norfloxacin (11 males), and ciprofloxacin for 7 days (19 males) and 14 days (19 males). Combining the results from the three RCTs shows that for 75% males with a UTI (76/101) bacteriological cure was reported at the end of the study. Of the 59 patients receiving a fluoroquinolone, 57 (97%) reported bacteriological and clinical cure within 2 weeks after treatment.

conclusionThe evidence available is insufficient to make any recommendations in relation to type and duration of antimicrobial treatment for male UTIs. Sufficiently powered RCTs are needed to identify best treatment type and duration for male UTIs in primary care.

Indexed as

antibiotic treatmentmaleprimary health carerandomised clinical trialreviewurinary tract infections

Identifiers

PMID33234514
PMCPMC8170603
OpenAlexW3108041135

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.