Diagnosis and Antibiotic Treatment of Urinary Tract Infections in Danish General Practice: A Quality Assessment

3Citations
Citations of this article
17Readers
Mendeley users who have this article in their library.

Abstract

Rational antibiotic treatment of urinary tract infections (UTI) is important. To improve the quality of antibiotic treatment of UTI, it is essential to obtain insight into diagnostic approaches and prescribing patterns in general practice. The aim of this study was to investigate the quality of diagnostics and treatment of UTI in general practice by means of quality indicators (QIs). QIs provide a quantitative measure of quality and are defined by a numerator (the number of patients receiving a specific investigation or treatment) and a denominator (the number of patients included in the quality assessment). For adult patients with suspected UTI, practices registered the following: age, sex, risk factors, symptoms and signs, examinations, diagnosis and treatment. The levels of the QIs were compared with their corresponding standards. Half of the patients diagnosed with lower UTI or pyelonephritis fulfilled the diagnostic criteria for UTI: characteristic UTI symptoms and clear signs of bacteriuria, respectively. Urinalysis was performed for nearly all patients, including patients without characteristic symptoms of UTI. One-fourth of the patients with suspected lower UTI were treated with antibiotics despite no urinalysis and nearly half received antibiotics despite an inconclusive dipstick test. Pivmecillam was the preferred antibiotic. The findings of this study indicate that there is room for improvement in the management of UTI in Danish general practice.

References Powered by Scopus

General practice and primary health care in Denmark

379Citations
N/AReaders
Get full text

The WHO policy package to combat antimicrobial resistance

252Citations
N/AReaders
Get full text

Risk Factors and Outcomes Associated with Treatment of Asymptomatic Bacteriuria in Hospitalized Patients

98Citations
N/AReaders
Get full text

Cited by Powered by Scopus

Increased demand of urine cultures from Danish general practice: a five-year register-based study

4Citations
N/AReaders
Get full text

Urinary Tract Infection Guideline Adherence in a Dutch Sentinel Nursing Home Surveillance Network

1Citations
N/AReaders
Get full text

Development of quality indicators for the diagnosis and treatment of urinary tract infections in general practice: A RAND appropriateness method

1Citations
N/AReaders
Get full text

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Cite

CITATION STYLE

APA

Saust, L. T., Siersma, V., Lykkegaard, J., Bjerrum, L., & Hansen, M. P. (2022). Diagnosis and Antibiotic Treatment of Urinary Tract Infections in Danish General Practice: A Quality Assessment. Antibiotics, 11(12). https://doi.org/10.3390/antibiotics11121759

Readers' Seniority

Tooltip

PhD / Post grad / Masters / Doc 2

67%

Lecturer / Post doc 1

33%

Readers' Discipline

Tooltip

Medicine and Dentistry 4

67%

Pharmacology, Toxicology and Pharmaceut... 1

17%

Nursing and Health Professions 1

17%

Article Metrics

Tooltip
Mentions
Blog Mentions: 1
News Mentions: 1

Save time finding and organizing research with Mendeley

Sign up for free