Guidelines adherence to lower urinary tract infection treatment in out-of-hours primary care in European countries.

摘要: BACKGROUND The substantial prevalence of bacterial lower urinary tract infections (LUTIs) in out-of-hours (OOH) primary care is a reason for frequent prescription antibiotics. Insight guideline adherence OOH concerning treatment LUTIs lacking. AIMS To check feasibility the use routine data to assess LUTI care, different regions Europe. METHODS We compared guidelines diagnosis and uncomplicated nine European countries, followed by an observational study on available adherence. In each region convenience sample registration at least 100 contacts per setting was collected. Data (% contacts) identified type antibiotic full (i.e. recommended dose duration). RESULTS Six countries were able provide LUTIs. Four them succeeded collect type, dosage duration treatment. Mostly, trimethoprim first choice, sometimes combined with sulfamethoxazol or sulfamethizol. Adherence antibiotics varied from 25% 100%. Denmark achieved 40.0%, Netherlands 72.7%, Norway 38.3%, Slovenia 22.2%. CONCLUSION Guidelines content similar large extent participating countries. analysis seems feasible, although some challenges remain. regarding varies suggests room improvement most