Evidence map›Paper›PMID 40719777›Full record

ArticleUrologie (Heidelberg, Germany)2026

[Prophylaxis of recurrent urinary tract infections by nitroxoline-real-world data of the ProNitrox study].

A Wiedemann, F Wagenlehner, K Naber, W Strohmaier, W Vahlensieck, R Kirschner-Hermanns, A Bannowsky, S Wirz, J Salem, T Kuru

Abstract readEnglish Abstract
In one paragraph

Article in Urologie (Heidelberg, Germany), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Review
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.

A WiedemannUrologische Klinik am Ev. Krankenhaus Witten gGmbH, Lehrstuhl für Geriatrie, Universität Witten/Herdecke, Pferdebachstr. 27, 58455, Witten, Deutschland. awiedemann@evk-witten.de.
F WagenlehnerKlinik und Poliklinik für Urologie, Kinderurologie und Andrologie, Justus-Liebig-Universität, Gießen, Deutschland.
K NaberAbteilung für Urologie, Technische Universität München, München, Deutschland.
W StrohmaierSana Medical School Coburg, Universität Split, Split, Kroatien.
W VahlensieckUrologie, Stresemannstraße 5, Bad Nauheim, Deutschland.
R Kirschner-HermannsNeuro-Urologie, Neurologisches Rehabilitationszentrum Godeshöhe Bonn, Bonn, Deutschland.
A BannowskyKliniken Landkreis Diepholz, Urologische Klinik, Diepholz, Deutschland.
S WirzAbteilung für Anästhesiologie, Intensivmedizin, Schmerz- und Palliativmedizin, Zentrum für Schmerzmedizin, Weaningzentrum, GFO-Kliniken Bonn/Cura Bad Honnef, Bad Honnef, Deutschland.
J SalemKlinik für Urologie und Kinderurologie, Universitätsklinikum Brandenburg a.d. Havel, MHB Brandenburg Theodor Fontane, Brandenburg a.d. Havel, Deutschland.
T KuruKlinik für Urologie und Kinderurologie, Universitätsklinikum Brandenburg a.d. Havel, MHB Brandenburg Theodor Fontane, Brandenburg a.d. Havel, Deutschland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFor recurrent urinary tract infections (rUTI), nitroxoline, a hydroxyquinoline derivative with low resistance rates, can be used for long-term prophylaxis (LP). There is little data available on this so far. The clinical routine of LP with nitroxoline was to be assessed in a retrospective, noninterventional study under real-world conditions. In addition to demographic data, the extent of multimorbidity, existing risk factors for rUTI, the type of antibiotic therapy of the last acute episode of rUTI, and the rate of breakthrough infections were of particular interest. MATERIALS AND

methodsIn the period April-October 2024, data from 360 patients who received reinfection prophylaxis with nitroxoline for rUTI from 70 doctors were collected.

resultsThe rate of breakthrough infections was 13% and was predominantly determined from urine culture. Of the documented patients, 20% (women) and 47% (men) were classified as multimorbid and 32% (women) and 48% (men) were classified as geriatric. Furthermore, 31.6% of patients had complicating factors for rUTI. The duration of therapy with nitroxoline was usually 3-6 months, in rare cases more than 2 years.

conclusionThe high number of comorbidities, older age, the high proportion of complicating factors such as urinary tract abnormalities and the use of antibiotics in the last acute episode, which are not intended for LP of rUTI, characterize the present patient group as difficult. Nevertheless, there is a favorable recurrence rate of 13%. The most frequently cited reasons for choosing nitroxoline for LP were good tolerability and effectiveness, the level of resistance and the therapist's positive experiences.

Indexed as

NitroquinolinesUrinary Tract InfectionsAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedRecurrenceRetrospective StudiesSecondary PreventionNitroquinolinesnitroxoline8-Hydroxyquinoline derivativeAntibioticsLong-term prophylaxisMultimorbidityRecurrent Cystitis

Identifiers

PMID40719777
PMCPMC12816079

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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.