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Dinh Nguyen Kaiser Permanente Fontana Family Medicine Residency Program 9961 Sierra Avenue Fontana, CA 92335 909-427-5084 (office) 494 patient charts met criteria to be included in the study. Chart review revealed that ciprofloxacin prescription was inappropriate in 464/494 cases or 94% of the time (95% CI 455 to 472). The reasons that it was inappropriate were: 297/494 (60%): no previous urine culture showing resistance to other antibiotics (95% CI 288 to 305). 418/494 (85%): inappropriate Ciprofloxacin dosage (95% CI 409 to 426). 49/494 (10%): h/o UTI with resistance to ciprofloxacin (95% CI 40 to 57). Furthermore, 85% of the time (95% CI 410 to 427), the duration of ciprofloxacin therapy was incorrect as the range of days prescribed was 7 to 10 days.

The Misuse of Ciprofloxacin In Outpatient Treatment of Acute Uncomplicated Cystitis (AUC)