Evaluation of Lower Urinary Tract Infection Management Among Non-Pregnant Women at a Primary Care Center
Journal Title: International Journal of Medical Research Professionals - Year 2017, Vol 3, Issue 1
Abstract
Background: Urinary tract infection (UTI) is one of the most common acute infections among women visiting outpatient clinics. Despite the availability of guidelines for its treatment, a wide range of inconsistency of acute UTI management has been reported. Objectives: To compare the current practices of managing uncomplicated lower UTI (LUTI) among women in reproductive age treated at a primary care setting, where no specific guidelines for managing acute UTI are endorsed. Methods: A retrospective chart review was done among non-pregnant women (15 to 45 years) who were presented with LUTI at Al-Wazarat Healthcare Center (WHC) located in Riyadh, Saudi Arabia between June and November 2013. The management practices were compared to the recommendations of the Scottish Intercollegiate Guidelines Network (SIGN). Results: A total 147 women with an average age of 31.1±7.9 years were included. The most frequent urinary symptom was dysuria (72.1%).Only 10 (6.8%) women were assessed for the presence of vaginal discharge or irritation. Dipstick was done in 70 (47.6%) women, with only half (49.5%) were used appropriately to guide treatment in patient with ≤ 2 symptoms. Urine culture was done in 107 (72.8%) women, with the majority (87.9%) were inappropriately/unnecessarily requested. While starting empirical treatment was high (134/147, 91.2%), only 14.2% (19/134) were appropriate (trimethoprim or nitrofurantoin). Additionally, 38.8% of the few appropriately prescribed antibiotics did not complete the recommended 3 day course. Conclusion: We are reporting a substantial deviation from the SIGN recommendations for the management of LUTI in a primary care setting in Saudi Arabia.
Authors and Affiliations
Fatmah H Al-Masaari, MD
Keywords
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- EP ID EP541081
- DOI 10.21276/ijmrp.2017.3.1.012
- Views 86
- Downloads 0
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