Evidence map›Paper›PMID 42594063›Full record

ReviewPLoS pathogens2026

Nitrofurantoin treatment and prophylaxis for recurrent urinary tract infections in women: First-line for a reason.

Alec Szlachta-McGinn, A Lenore Ackerman

Abstract readReview
In one paragraph

Review in PLoS pathogens, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

2 authors.

Alec Szlachta-McGinnDepartment of Obstetrics and Gynecology, Division of Urogynecology and Reconstructive Pelvic Surgery, Washington University in St. Louis, St. Louis, Missouri, United States of America.ORCID 0000-0002-6371-206X
A Lenore AckermanDepartment of Urology, Division of Urogynecology and Reconstructive Pelvic Surgery, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California, United States of America.ORCID 0000-0003-4192-7649

Funding

Predicting phenotypes in benign urologyR01DK138121 · NIDDK · DUKE UNIVERSITY · PI Lisa Anne Karstens, NAZEMA Y SIDDIQUI · 2024 to 2026
$1.9M
Quantitative Assessment of Pelvic Floor Muscle Fitness in Myofascial Pelvic PainR61AT013008 · NCCIH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ACKERMAN, A. LENORE · 2024 to 2024
$1.5M
NCCIH NIH HHS R61 AT013008NIDDK NIH HHS R01 DK138121
6 · The paper itself

Abstract

Nitrofurantoin is considered a first-line antimicrobial agent by the AUA/CUA/SUFU Guideline and Infectious Disease Society of America (IDSA) Guideline for the treatment of acute uncomplicated simple cystitis in women. Nitrofurantoin has good oral bioavailability, high concentration in urine, and low serum and tissue concentrations. These characteristics result in minimal collateral damage to the microbial composition of other niches within the human body, such as the gut, that are essential in maintaining homeostasis. In addition, resistance to nitrofurantoin is uncommon owing to its interference with multiple bacterial cellular functions critical to survival. Large systematic reviews and meta-analyses have demonstrated that nitrofurantoin is noninferior to other commonly prescribed antibiotics for treatment of urinary tract infection (UTI). Recent data from a randomized controlled trial suggest that a 5-day course of nitrofurantoin may be more effective than a single dose of fosfomycin in the treatment of UTI. Therefore, nitrofurantoin is an ideal first-line agent in the management of UTI.

Indexed as

Anti-Bacterial AgentsAnti-Infective Agents, UrinaryNitrofurantoinUrinary Tract InfectionsCystitisFemaleHumansAnti-Bacterial AgentsAnti-Infective Agents, UrinaryNitrofurantoin

Identifiers

PMID42594063
PMCPMC13472370

What OpenQuestion holds

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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.