Physician speciality and adherence to guidelines for the treatment of unsubstantiated uncomplicated urinary tract infection among women

Pharmacoepidemiology and Drug Safety

Volumn 14, Issue 5, 2005, Pages 357-361

  Kahan, Natan R ^a,d   Friedman, Nurit L ^b   Lomnicky, Yossi ^b   Hemo, Beatriz ^b   Heymann, Anthony D ^b,c   Shapiro, Mervyn ^a,b   Kokia, Ehud ^b  

^a HADASSAH HEBREW UNIVERSITY MEDICAL CENTER   (Israel)

^b MACCABI HEALTHCARE SERVICES   (Israel)

^c TEL AVIV UNIVERSITY   (Israel)

^d Hadassah Hebrew University Hospital ^*  (Israel)

Author keywords

Antibiotics; Data warehouse; Drug utilisation; Empiric treatment; Prescription behaviour; Subspeciality variance; UTI

Indexed keywords

CEFUROXIME; CEPHALOSPORIN DERIVATIVE; CIPROFLOXACIN; COTRIMOXAZOLE; FOSFOMYCIN; LEVOFLOXACIN; MACROLIDE; NITROFURANTOIN; NORFLOXACIN; OFLOXACIN; PENICILLIN DERIVATIVE; QUINOLINE DERIVED ANTIINFECTIVE AGENT; TETRACYCLINE DERIVATIVE;

ADULT; AGED; ARTICLE; CLINICAL PRACTICE; CYSTITIS; DRUG UTILIZATION; FEMALE; HUMAN; ISRAEL; MAJOR CLINICAL STUDY; MEDICAL EDUCATION; MEDICAL SCHOOL; MEDICAL SPECIALIST; PRACTICE GUIDELINE; PRESCRIPTION; PRIORITY JOURNAL; URINARY TRACT INFECTION; UROLOGY;

ADOLESCENT; ADULT; AGED; ANTI-INFECTIVE AGENTS, URINARY; DRUG UTILIZATION REVIEW; FAMILY PRACTICE; FEMALE; GUIDELINE ADHERENCE; HUMANS; MIDDLE AGED; NITROFURANTOIN; PHYSICIAN'S PRACTICE PATTERNS; PHYSICIANS; PRACTICE GUIDELINES; RETROSPECTIVE STUDIES; TRIMETHOPRIM-SULFAMETHOXAZOLE COMBINATION; URINARY TRACT INFECTIONS;

EID: 19144372323     PISSN: 10538569     EISSN: None     Source Type: Journal    
DOI: 10.1002/pds.1044     Document Type: Article

References (15)

1. Nicolle LE. Epidemiology of urinary tract infection. Infect Med 2001; 18(3): 153-162.
2. Peterson GM, Stanton LA, Bergin JK, Chapman GA. Improving the prescribing of antibiotics for urinary tract infection. J Clin Pharm Ther 1997; 22: 147-153.
3. Bacheller CD, Bernstein JM. Urinary tract infections. Med Clin North Am 1997; 81(3): 719-730.
4. Hooton TM, Stamm WE. Diagnosis and treatment of uncomplicated urinary tract infection. Infect Dis Clin North Am 1997; 11: 551-581.
5. Saint S, Scholes D, Fihn SD, Farrell RG, Stamm WE. The effectiveness of a clinical practice guideline for the management of presumed uncomplicated urinary tract infection in women. Am J Med 1999; 106: 636-641.
6. Avorn J, Solomon DH. Cultural and economic factors that (mis)shape antibiotic use: the nonpharmacologic basis of therapeutics. Ann Intern Med 2000; 133: 128-135.
7. Berg AO. Variation among family physicians' management strategies for lower urinary tract infection in women: a report from the Washington Family Physicians Collaborative Research Network. J Am Board Fam Pract 1991; 4: 327-330.
8. Komaroff AL, Pass TM, McCue JD, Cohen AB, Hendricks TM, Friedland G. Management Strategies for urinary and vaginal infections. Arch Intern Med 1978; 138: 1069-1073.
9. Wigton RS, Longenecker JC, Bryan TJ, Parenti C, Flach SD, Tape TG. Variation by speciality in the treatment of urinary tract infection in women. J Gen Intern Med 1999; 14: 491-494.
10. Huang ES, Stafford RS. National patterns in the treatment of urinary tract infections in women by ambulatory care physicians. Arch Intern Med 2002; 162: 41-47.
11. Kahan E, Kahan NR, Chinitz DP. Urinary tract infection in women: physician's preferences for treatment and adherence to guidelines: a national drug utilisation study in a managed care setting. Eur J Clin Pharm 2003; 59: 663-668.
12. 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 utilisation analysis. P D Safe 2004; 13: 239-242.
13. Kahan NR, Chinitz DP, Kahan E. Longer than recommended empiric antibiotic treatment of urinary tract infection in women: an avoidable waste of money. J Clin Pharm Ther 2004; 29: 59-63.
14. National Guidelines Clearinghouse, http://www.guideline.gov/FRAMESETS/guideline_fs.asp?guideline= 001510&sSearch_string=uti Last accessed February 2, 2004].
15. Cabana MD, Rand CS, Powe NR, et al. Why don't physicians follow clinical practice guidelines? A framework for improvement. JAMA 1999; 282: 1458-1465.