Author Affiliations: Minneapolis Veterans Affairs Health Care System and Department of Medicine, University of Minnesota, Minneapolis.
We appreciate the comments of Smithson et al and their interest in our work. We agree that it is premature to redefine the most adequate duration of antimicrobial treatment in men with urinary tract infection (UTI), and we attempted to make this clear in our discussion, where we stated that our findings “question the role of longer-duration treatment for male UTI in the outpatient setting.”1(p67) We went on to call for a randomized trial of shorter vs longer duration treatment, which ultimately is needed to definitively answer this question, rather than further analysis of retrospective data.
Drekonja DM. Time to Redefine the Duration of Antimicrobial Treatment in Male Patients With Urinary Infections—Reply. JAMA Intern Med. 2013;173(12):1153-1154. doi:10.1001/jamainternmed.2013.6251