Can you treat a patient with suspected urinary tract infection (UTI) over the phone?
Phone management of UTI symptoms results in no difference in short-term symptom control compared with office management (SOR: C, small RCT). Symptoms such as dysuria, frequency, hematuria, and back pain each slightly increase the likelihood of a positive UTI while vaginal discharge and vaginal irritation moderately decrease the likelihood (SOR: A, meta-analysis of RCTs). Immediate use of antibiotics without testing may result in faster resolution of symptoms compared with management based on urinalysis (SOR: C, extrapolated from RCT of clinic patients).
Evidence-Based Practice 19, no. 4 (2016): 10-11