Longer than recommended empiric antibiotic treatment of urinary tract infection in women: An avoidable waste of money

Journal of Clinical Pharmacy and Therapeutics

Volumn 29, Issue 1, 2004, Pages 59-63

  Kahan, N R ^a,b,d   Chinitz, D P ^b   Kahan, E ^c  

^a Leumit Health Care System   (Israel)

^b HEBREW UNIVERSITY OF JERUSALEM   (Israel)

^c TEL AVIV UNIVERSITY   (Israel)

^d NONE   (Israel)

Author keywords

Antibiotics; Cost of treatment; Duration of treatment; Guidelines; Prescription appropriateness; Urinary tract infection

Indexed keywords

ANTIBIOTIC AGENT; NITROFURANTOIN; OFLOXACIN;

ADULT; AGED; ANTIBIOTIC THERAPY; ARTICLE; CONTROLLED STUDY; COST BENEFIT ANALYSIS; CYSTITIS; DRUG COST; ELECTRONICS; FEMALE; HEALTH MAINTENANCE ORGANIZATION; HUMAN; INFORMATION PROCESSING; ISRAEL; MAJOR CLINICAL STUDY; MEDICAL RECORD; MONEY; PATIENT COMPLIANCE; POPULATION; PRESCRIPTION; URINARY TRACT INFECTION;

ADOLESCENT; ADULT; AGED; ANTI-INFECTIVE AGENTS, URINARY; DRUG ADMINISTRATION SCHEDULE; DRUG COSTS; DRUG UTILIZATION; FEMALE; GUIDELINE ADHERENCE; HUMANS; ISRAEL; MIDDLE AGED; NITROFURANTOIN; OFLOXACIN; PHYSICIAN'S PRACTICE PATTERNS; URINARY TRACT INFECTIONS;

EID: 1342288921     PISSN: 02694727     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.1365-2710.2003.00537.x     Document Type: Article

References (21)

1. Brown LD (2003) Comparing health systems in four countries: lessons for the United States. American Journal of Public Health, 93, 52-56.
2. Worz M, Busse R (2002) Structural reforms for Germany's health care system? Euro Observer, 4, 1-3.
3. Cabana MD, Rand CS, Powe NR et al. (1999) Why don't physicians follow clinical practice guidelines? A framework for improvement. JAMA, 282, 1458-1465.
4. Woolf SH, Hutchinson A, Eccles M, Grimshaw J (1999) Potential benefits, limitations, and harms of clinical guidelines. BMJ, 318, 527-530.
5. Saint S, Scholes D, Fihn SD, Farrell RG, Stamm WE (1999) The effectiveness of a clinical practice guideline for the management of presumed uncomplicated urinary tract infection in women. American Journal of Medicine, 106, 636-641.
6. Sarrell ME, Mandelberg A, Cohen HA, Kahan E (2002) Compliance of primary care doctors with asthma guidelines and related education programs: the employment factor. Israel Medical Association Journal, 4, 403-406.
7. Lomas J, Anderson GM, Domnick-Pierre K, Vayda E, Enkin MW, Hannah WJ (1989) Do practice guidelines guide practice? The effect of a consensus statement on the practice of physicians. New England Journal of Medicine, 321, 1306-1311.
8. Woolf SH (1993) Practice guidelines: a new reality in medicine, III: impact on patient care. Archives of Internal Medicine, 153, 2646-2655.
9. Hayward RSA (1997) Clinical practice guidelines on trial. Canadian Medical Association Journal, 156, 1725-1727.
10. Nicolle LE (2001) Epidemiology of urinary tract infection. Infections in Medicine, 18, 153-162.
11. Peterson GM, Stanton LA, Bergin JK, Chapman GA (1997) Improving the prescribing of antibiotics for urinary tract infection. Journal of Clinical Pharmacy and Therapeutics, 22, 147-153.
12. Bacheller CD, Bernstein JM (1997) Urinary tract infections. Medical Clinics of North America, 81, 719-730.
13. Berg AO (1991) Variation among family physicians' management strategies for lower urinary tract infection in women: a report from the Washington Family Physicians Collaborative Research Network. Journal of the American Board of Family Practice, 4, 327-330.
14. Komaroff AL, Pass TM, McCue JD, Cohen AB, Hendricks TM, Friedland G (1978) Management strategies for urinary and vaginal infections. Archives of Internal Medicine, 138, 1069-1073.
15. Wigton RS, Longenecker JC, Bryan TJ, Parenti C, Flach SD, Tape TG (1999) Variation by specialty in the treatment of urinary tract infection in women. Journal of General Internal Medicine, 14, 491-494.
16. Huang ES, Stafford RS (2002) National patterns in the treatment of urinary tract infections in women by ambulatory care physicians. Archives of Internal Medicine, 162, 41-47.
17. Kahan NR, Chinitz DP, Kahan E. Physician adherence to recommendations for duration of empiric antibiotic treatment for uncomplicated urinary tract infection in women: a national drug utilization analysis. Pharmacoepidemiology and Drug Safety (in press).
18. Warren JW, Abrutyn E, Hebel JR, Johnson JR, Schaeffer AJ, Stamm W (1999) Guidelines for antimicrobial treatment of uncomplicated acute bacterial cystitis and acute pyelonephritis in women. Clinical Infectious Diseases, 29, 745-758.
19. Lutters M, Vogt N (2002) Antibiotic duration for treating uncomplicated, symptomatic lower urinary tract infections in elderly women (Cochrane Review). Cochrane Library, Issue 4. Oxford: Update Software.
20. National Guidelines Clearinghouse (2003) Urinary tract infection. http://www.guideline.gov/FRAMESETS/guideline_fs.asp?guideline= 001510&sSearch_string=uti (Last accessed April 10, 2003).
21. Gupta K, Hooton TM, Stamm WE (2001) Increasing antimicrobial resistance and the management of uncomplicated community-acquired urinary tract infection. Annals of Internal Medicine, 135, 41-50.