ArticleScandinavian journal of primary health care2013
Different recommendations for empiric first-choice antibiotic treatment of uncomplicated urinary tract infections in Europe.
Article in Scandinavian journal of primary health care, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
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Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Ciprofloxacin resistance in community- and hospital-acquired Escherichia coli urinary tract infections: a systematic review and meta-analysis of observational studies.BMC infectious diseases · 2015Pooled it
- Procalcitonin and pyuria-based algorithm reduces antibiotic use in urinary tract infections: a randomized controlled trial.BMC medicine · 2015Trial
- A practical nomogram for predicting multidrug-resistant organism infection in a tertiary county-level hospital to guide antimicrobial therapy.New microbes and new infections · 2026Article
- Lessons from an 11-year retrospective cohort study ofIranian journal of microbiology · 2024Article
- Antibiotic prescription patterns in patients with suspected urinary tract infections in Ecuador.PloS one · 2023Article
- Article
- Antibiotic resistance patterns of Helicobacter pylori in North Israel - A six-year study.Helicobacter · 2022Article
- Antimicrobial resistance in urinary pathogens and culture-independent detection of trimethoprim resistance in urine from patients with urinary tract infection.BMC microbiology · 2022Article
- Recurring Cystitis: How Can We Do Our Best to Help Patients Help Themselves?Antibiotics (Basel, Switzerland) · 2022Article
- Prospective cohort study on hospitalised patients with suspected urinary tract infection and risk factors por multidrug resistance.Scientific reports · 2021Observational
- Etiology and Antimicrobial Susceptibility of Pathogens Associated with Urinary Tract Infections among Women Attending Antenatal Care in Four South African Tertiary-Level Facilities, 2015-2019.Antibiotics (Basel, Switzerland) · 2021Article
- Catheter-Associated Urinary Tract Infection: Incidence, Associated Factors and Drug Resistance Patterns of Bacterial Isolates in Southern Ethiopia.Infection and drug resistance · 2021Article
- Prevalence and antibiotic susceptibility pattern of uropathogens in outpatients at a tertiary care hospital.New microbes and new infections · 2020Article
- A guide for urogynecologic patient care utilizing telemedicine during the COVID-19 pandemic: review of existing evidence.International urogynecology journal · 2020Review
- Trends in Primary Antibiotic Resistance inAntibiotics (Basel, Switzerland) · 2020Article
- Temporal order and precision of complex stress responses in individual bacteria.Molecular systems biology · 2019Article
- Prevalence of quinolone-resistant uropathogenicInfection and drug resistance · 2019Article
- Increased adherence to treatment guidelines in patients with urinary tract infection in primary care: A retrospective study.PloS one · 2019Article
- Outpatient Antibiotic Consumption for Urinary Infections in Croatia 2005 - 2014: What can be Learned from Utilization Trends.Zdravstveno varstvo · 2018Article
- Indications for Systemic Fluoroquinolone Therapy in Europe and Prevalence of Primary-Care Prescribing in France, Germany and the UK: Descriptive Population-Based Study.Clinical drug investigation · 2018Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveUncomplicated urinary tract infection (uUTI) is a common reason for antibiotic treatment in primary health care. Due to the increasing prevalence of antibiotic-resistant uropathogens it is crucial to use the most appropriate antibiotics for first-choice empiric treatment of uUTI. Particularly, it is important to avoid antibiotics associated with a high rate of antimicrobial resistance. This study compares national recommendations from six European countries, investigating recommendations for first-choice antibiotic therapy of uUTI.
settingGeneral practice in six European countries.
methodSearches were undertaken on PubMed, the Cochrane Library databases, Google, and Google Scholar. Recommendations from different geographical regions in Europe were investigated: Northern Europe (Denmark, Sweden), Western Europe (Scotland), Central Europe (Germany), Southern Europe (Spain), and Eastern Europe (Croatia).
resultsThe six countries recommended seven different antibiotics. Five countries recommended more than one antibiotic as first-choice treatment. Half of the countries recommended antibiotics associated with a high rate (> 10-20%) of resistant E. coli. All countries recommended at least one antibiotic associated with a low (< 5%) resistance rate. DISCUSSION: The differences in first-choice treatment of uUTI could not be explained by differences in local bacterial aetiology or by different patterns of antimicrobial resistance. Despite resistance rates exceeding 10-20%, sulphamethizole, trimethoprim. or fluoroquinolones were recommended in half of the countries.
conclusionWithin the European countries there are considerable differences in recommendations for empiric first-choice antibiotic treatment of uUTI. In order to reduce the increasing antimicrobial resistance in Europe, it is important to agree on the most appropriate antibiotics for empiric treatment of uUTI.
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