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designer491 / iStock Proponents of the shorter is better philosophy for antibiotic treatment of many common bacterial infections can add another study to their list: In results published this week in JAMA, researchers reported that, in men who had presumed symptomatic urinary tract infections (UTIs) with no fever, 7 days of antibiotics was noninferior to 14 days for resolving symptoms. The findings are from a randomized clinical trial conducted among men at two Veterans Affairs (VA) hospitals in Minneapolis and Houston who were treated with ciprofloxacin or trimethoprim/sulfamethoxazole. No significant differences in recurrence of symptoms or adverse events occurred. The findings support the use of a 7-day course of ciprofloxacin or trimethoprim/sulfamethoxazole as an alternative to a 14-day course for treatment of afebrile men with UTI, the study authors wrote.

United statesBaylor college of medicineUniversity of maryland school medicineDaniel morganDimitri drekonjaNeil clancyVeterans affairsVa pittsburgh health care systemAmerican college of physiciansUniversity of pittsburghUniversity of minnesota medical schoolUniversity of minnesotaVa maryland health care systemMinneapolis va health care systemMichaele debakey va medical centerInfectious diseases society of america