Adverse effects of chronic nitrofurantoin therapy in women with recurrent urinary tract infections in an outpatient setting
Purpose To review the frequency of adverse events reported with nitrofurantoin (NF) in perimenopausal and menopausal women on prolonged daily prophylaxis in an outpatient setting. Methods Electronic medical records of women aged 50–95 prescribed NF by 2 primary urology providers for at least 3 conse...
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Published in | World journal of urology Vol. 39; no. 7; pp. 2597 - 2603 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
Berlin/Heidelberg
Springer Berlin Heidelberg
01.07.2021
Springer Nature B.V |
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Abstract | Purpose
To review the frequency of adverse events reported with nitrofurantoin (NF) in perimenopausal and menopausal women on prolonged daily prophylaxis in an outpatient setting.
Methods
Electronic medical records of women aged 50–95 prescribed NF by 2 primary urology providers for at least 3 consecutive months from 2006 to 2018 were retrospectively reviewed. Demographics, reason for the initiation, dose and duration of therapy, explanation of therapy interruptions, occurrence of adverse events, comorbid conditions, and relevant lab and imaging results were recorded. The number of months on prolonged therapy were summed.
Results
Of the 221 patients included, 167 (77%) were prescribed 100 mg of NF daily with a mean duration of therapy of 1.5 years. The most common indication for therapy was recurrent urinary tract infection prophylaxis. Breakthrough urinary tract infections developed in 88 (40%) patients on prolonged NF therapy but only 10 were not restarted on NF. Four patients (1.8%) were determined to have pulmonary adverse events and 1 (0.4%) developed elevated liver function tests.
Conclusion
In peri-menopausal and menopausal women, the risks and benefits of chronic NF therapy should be weighed by the clinician and patient prior to prescribing long term NF. Patients must be educated about the potential NF toxicities and clinically monitored for signs and symptoms of potential adverse events while on chronic NF therapy. |
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AbstractList | To review the frequency of adverse events reported with nitrofurantoin (NF) in perimenopausal and menopausal women on prolonged daily prophylaxis in an outpatient setting.
Electronic medical records of women aged 50-95 prescribed NF by 2 primary urology providers for at least 3 consecutive months from 2006 to 2018 were retrospectively reviewed. Demographics, reason for the initiation, dose and duration of therapy, explanation of therapy interruptions, occurrence of adverse events, comorbid conditions, and relevant lab and imaging results were recorded. The number of months on prolonged therapy were summed.
Of the 221 patients included, 167 (77%) were prescribed 100 mg of NF daily with a mean duration of therapy of 1.5 years. The most common indication for therapy was recurrent urinary tract infection prophylaxis. Breakthrough urinary tract infections developed in 88 (40%) patients on prolonged NF therapy but only 10 were not restarted on NF. Four patients (1.8%) were determined to have pulmonary adverse events and 1 (0.4%) developed elevated liver function tests.
In peri-menopausal and menopausal women, the risks and benefits of chronic NF therapy should be weighed by the clinician and patient prior to prescribing long term NF. Patients must be educated about the potential NF toxicities and clinically monitored for signs and symptoms of potential adverse events while on chronic NF therapy. PURPOSETo review the frequency of adverse events reported with nitrofurantoin (NF) in perimenopausal and menopausal women on prolonged daily prophylaxis in an outpatient setting. METHODSElectronic medical records of women aged 50-95 prescribed NF by 2 primary urology providers for at least 3 consecutive months from 2006 to 2018 were retrospectively reviewed. Demographics, reason for the initiation, dose and duration of therapy, explanation of therapy interruptions, occurrence of adverse events, comorbid conditions, and relevant lab and imaging results were recorded. The number of months on prolonged therapy were summed. RESULTSOf the 221 patients included, 167 (77%) were prescribed 100 mg of NF daily with a mean duration of therapy of 1.5 years. The most common indication for therapy was recurrent urinary tract infection prophylaxis. Breakthrough urinary tract infections developed in 88 (40%) patients on prolonged NF therapy but only 10 were not restarted on NF. Four patients (1.8%) were determined to have pulmonary adverse events and 1 (0.4%) developed elevated liver function tests. CONCLUSIONIn peri-menopausal and menopausal women, the risks and benefits of chronic NF therapy should be weighed by the clinician and patient prior to prescribing long term NF. Patients must be educated about the potential NF toxicities and clinically monitored for signs and symptoms of potential adverse events while on chronic NF therapy. Purpose To review the frequency of adverse events reported with nitrofurantoin (NF) in perimenopausal and menopausal women on prolonged daily prophylaxis in an outpatient setting. Methods Electronic medical records of women aged 50–95 prescribed NF by 2 primary urology providers for at least 3 consecutive months from 2006 to 2018 were retrospectively reviewed. Demographics, reason for the initiation, dose and duration of therapy, explanation of therapy interruptions, occurrence of adverse events, comorbid conditions, and relevant lab and imaging results were recorded. The number of months on prolonged therapy were summed. Results Of the 221 patients included, 167 (77%) were prescribed 100 mg of NF daily with a mean duration of therapy of 1.5 years. The most common indication for therapy was recurrent urinary tract infection prophylaxis. Breakthrough urinary tract infections developed in 88 (40%) patients on prolonged NF therapy but only 10 were not restarted on NF. Four patients (1.8%) were determined to have pulmonary adverse events and 1 (0.4%) developed elevated liver function tests. Conclusion In peri-menopausal and menopausal women, the risks and benefits of chronic NF therapy should be weighed by the clinician and patient prior to prescribing long term NF. Patients must be educated about the potential NF toxicities and clinically monitored for signs and symptoms of potential adverse events while on chronic NF therapy. |
Author | Maredia, Navin N. Zimmern, Philippe E. Christie, Alana L. Prokesch, Bonnie C. Fanning, Michael J. |
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Cites_doi | 10.1016/S0002-9343(02)01054-9 10.1016/j.urols.2016.07.004 10.1093/cid/ciq257 10.1097/00001703-200210000-00016 10.1093/clinids/22.1.91 10.1111/jgs.15767 10.1097/JU.0000000000000296 10.1345/aph.1R352 10.1111/jgs.14072 10.1093/oxfordjournals.aje.a010170 10.1086/501554 10.1111/jgs.13702 10.1093/jac/dkt129 |
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Keywords | Urinary tract infection Nitrofurantoin Recurrent UTI Perimenopausal and menopausal women |
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References | Foxman (CR1) 2002; 113 (CR12) 2015; 63 Dwyer, O'Reilly (CR5) 2002; 14 Deshpande, Pasupuleti, Thota (CR10) 2013; 68 Rego, Glazer, Zimmern (CR15) 2016; 27 Ikaheimo, Siitonen, Heiskanen (CR4) 1996; 22 Albert, Huertas, Pereiro, Sanfelix, Gosalbes, Perrota (CR8) 2004; 3 Conklin (CR14) 1971; 1978 CR9 Oplinger, Andrews (CR11) 2013; 47 Gupta, Hooton, Naber (CR2) 2011; 52 Pittet, Harbarth, Ruef (CR6) 1999; 20 (CR13) 2019; 67 Foxman, Gillespie, Koopman (CR3) 2000; 151 Anger, Lee, Ackerman (CR7) 2019; 202 Santos, Batech, Pelter, Deamer (CR16) 2016; 64 J Anger (3464_CR7) 2019; 202 LL Rego (3464_CR15) 2016; 27 D Pittet (3464_CR6) 1999; 20 3464_CR9 B Foxman (3464_CR3) 2000; 151 B Foxman (3464_CR1) 2002; 113 K Gupta (3464_CR2) 2011; 52 JM Santos (3464_CR16) 2016; 64 JD Conklin (3464_CR14) 1971; 1978 American Geriatrics Society (3464_CR12) 2015; 63 A Deshpande (3464_CR10) 2013; 68 PL Dwyer (3464_CR5) 2002; 14 M Oplinger (3464_CR11) 2013; 47 By the American Geriatrics Society Beers Criteria Update Expert P. American Geriatrics Society (3464_CR13) 2019; 67 R Ikaheimo (3464_CR4) 1996; 22 X Albert (3464_CR8) 2004; 3 |
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To review the frequency of adverse events reported with nitrofurantoin (NF) in perimenopausal and menopausal women on prolonged daily prophylaxis in an... To review the frequency of adverse events reported with nitrofurantoin (NF) in perimenopausal and menopausal women on prolonged daily prophylaxis in an... PurposeTo review the frequency of adverse events reported with nitrofurantoin (NF) in perimenopausal and menopausal women on prolonged daily prophylaxis in an... PURPOSETo review the frequency of adverse events reported with nitrofurantoin (NF) in perimenopausal and menopausal women on prolonged daily prophylaxis in an... |
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SubjectTerms | Adverse events Aged Aged, 80 and over Ambulatory Care Anti-Infective Agents, Urinary - administration & dosage Anti-Infective Agents, Urinary - adverse effects Antibiotics Demography Disease prevention Dosage Electronic medical records Female Humans Medicine Medicine & Public Health Menopause Middle Aged Nephrology Nitrofurantoin Nitrofurantoin - administration & dosage Nitrofurantoin - adverse effects Oncology Original Article Patients Prophylaxis Recurrence Recurrent infection Retrospective Studies Urinary tract Urinary tract diseases Urinary tract infections Urinary Tract Infections - drug therapy Urogenital system Urology |
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Title | Adverse effects of chronic nitrofurantoin therapy in women with recurrent urinary tract infections in an outpatient setting |
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