Long-term UTI prophylaxis ran a median 2.2 years, and fewer than six in ten patients were reviewed by six months

The edition in brief

An audit of 256 adults on antibiotic prophylaxis for recurrent UTI across 18 Leicestershire practices found a median duration of 2.2 years. 73.6% were on a guideline regimen, 58.1% were reviewed within six months, and only 22.9% of those with resistant urine isolates had their prophylaxis changed, although resistance was linked to more breakthrough infection. A review in American Family Physician sets out influenza management: annual vaccination from six months including in pregnancy; a negative rapid test does not exclude influenza; antivirals as soon as possible for hospitalised, severely ill or high-risk patients; and modest benefit otherwise, about 20 hours shorter illness with little evidence of fewer complications. A meta-analysis of 23 trials and 3,055 women with gestational diabetes found telemedicine may lower glucose and weight gain and was associated with fewer caesareans and less neonatal hypoglycaemia, but heterogeneity was extreme and certainty low to very low. In an Australian cohort of 69,081 older people entering long-term care, 72% of those moving into facilities changed GP against 10% receiving home-based care, although continuity recovered quickly afterwards.