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March 20, 1954


JAMA. 1954;154(12):972-974. doi:10.1001/jama.1954.02940460004002

Urinary tract infections are second in frequency only to infectious processes of the upper respiratory tract.1 Because of their frequency they are often dismissed as minor problems and may be treated in a rather haphazard manner, but this attitude may lead to serious difficulty and aid in establishing chronic infections with permanent and irreparable renal damage. Contributing to this attitude has been the advent of the chemotherapeutic and antibiotic drugs, which, after a preliminary course of therapy, may give relief of symptoms with striking and immediate results. In any given case, general care and good urologic management will be of greater benefit than any chemotherapeutic treatment. Womack and his coworkers have stated that age and systemic factors not only predispose patients to urinary infection but also militate against optimum beneficial results.2 To take the greatest advantage of the recent advances in the use of chemotherapeutic agents in urology,

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