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Indian J Nephrol. 2010 April; 20(2): 118.
PMCID: PMC2931129

Approach to urinary tract infections


We read the article “Approach to urinary tract infections”[1] by Najar et al. with interest. We appreciate the extensive research conducted by the authors to come up with this review article. We would like to add our views to the same.

The authors fail to mention the importance of treatment for both gonorrhea and Chlamydia with a third-generation cephalosporin and macrolide, respectively, simultaneously in a patient with urethritis. Failing to do so may result in a high chance of recurrence of the symptoms and dreadful complications like stricture and infertility at a later stage. Thus, care should be taken to treat for both in the concerned patients. Nonetheless, the authors have performed a commendable job and need to be applauded for the same.


We would like to thank Dr. Vishal for his support and cooperation.


1. Najar MS, Saldanha CL, Banday KA. Approach to urinary tract infections. Indian J Nephrol. 2009;19:129–39. [PMC free article] [PubMed]

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