ArticleDeutsches Arzteblatt international2012
A survey of outpatient antibiotic prescribing for cystitis.
Article in Deutsches Arzteblatt international, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 15 citations in OpenAlex.
- Combining Internet-Based and Postal Survey Methods in a Survey among Gynecologists: Results of a Randomized Trial.Health services research · 2018Trial
- Quality of Antibiotic Prescribing for Outpatient Cystitis in Adult Females.Journal of the Association of Medical Microbiology and Infectious Disease Canada = Journal officiel de l'Association pour la microbiologie medicale et l'infectiologie Canada · 2024Article
- Comparing outpatient oral antibiotic use in Germany and the Netherlands from 2012 to 2016.Pharmacoepidemiology and drug safety · 2018Article
- [Resistance testing for urinary tract infections. A barrier to guideline implementation].Der Urologe. Ausg. A · 2016Article
- In reply.Deutsches Arzteblatt international · 2013Article
- Fluoroquinolones prescribed too frequently.Deutsches Arzteblatt international · 2013Article
- Addenda.Deutsches Arzteblatt international · 2013Article
- Methodological flaws.Deutsches Arzteblatt international · 2013Article
- Prescribing behavior in urinary tract infection: inadequate implementation of guidelines in clinical practice.Deutsches Arzteblatt international · 2012Article
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn view of the currently increasing rates of antibiotic resistance, we studied the factors that affect the prescribing of specific antibiotics for uncomplicated cystitis in outpatient care.
methodsA nationwide cross-sectional survey of physicians in private practice in various specialties (internal medicine, general medicine, surgery, obstetrics/gynecology, child and adolescent medicine, otorhinolaryngology, dermatology, urology) was carried out in 2008. The sample was derived from the German state directories of medical specialists.
results1810 (60%) of the physicians surveyed reported that they made decisions about antibiotic treatment every day, with uncomplicated urinary tract infection as the most common diagnosis (715 physicians). The antibiotics that they prescribed most commonly for it were cotrimoxazole (61%) and fluoroquinolones (21%). The following factors were significantly associated with a preference for fluoroquinolones: being a gynecologist (odds ratio [OR] 0.47, 95% confidence interval [CI] 0.27-0.80), location of practice in the former East Germany (OR 2.01, CI 1.16-3.46), a treatment strategy incorporating a switch from empirical to targeted treatment (OR 1.72, CI 1.02-2.90), and the stated intention of avoiding inconvenience to the patient (OR 2.14, CI 1.25-3.68). DISCUSSION: Fluoroquinolones are no longer recommended as the drug of first choice for uncomplicated urinary tract infections because of the development of resistance, but are still commonly prescribed for it. ARS (Antibiotic Resistance Surveillance in Germany) publishes current regional and patient-group-specific resistance rates to promote good clinical practice and improve prescribing behavior.
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