Izvorni znanstveni članak
Research of Urinary Tract Infections in Family Medicine Physicians' Offices – Empiric Antimicrobial Therapy of Urinary Tract Infections – Croatian Experience
Vedrana Škerk
; University Hospital for Infectious Diseases »Dr. Fran Mihaljević«, Zagreb, Croatia, Reference Centre of the Ministry of Health and Social Welfare of the Republic of Croatia
Višnja Škerk
; University Hospital for Infectious Diseases »Dr. Fran Mihaljević«, Zagreb, Croatia, Reference Centre of the Ministry of Health and Social Welfare of the Republic of Croatia
Jerko Jakšić
; PLIVA Hrvatska d.o.o., Zagreb, Croatia
Adela Kolumbić Lakoš
; PLIVA Hrvatska d.o.o., Zagreb, Croatia
Mirjana Matrapazovski
; PLIVA Hrvatska d.o.o., Zagreb, Croatia
Gordan Maleković
; PLIVA Hrvatska d.o.o., Zagreb, Croatia
Arjana Tambić Andrašević
; University Hospital for Infectious Diseases »Dr. Fran Mihaljević«, Zagreb, Croatia, Reference Centre of the Ministry of Health and Social Welfare of the Republic of Croatia
Velena Radošević
; Department of Obstetrics and Gynecology, University School of Medicine Zagreb, Croatia
Alemka Markotić
; University Hospital for Infectious Diseases »Dr. Fran Mihaljević«, Zagreb, Croatia, Reference Centre of the Ministry of Health and Social Welfare of the Republic of Croatia
Josip Begovac
; University Hospital for Infectious Diseases »Dr. Fran Mihaljević«, Zagreb, Croatia, Reference Centre of the Ministry of Health and Social Welfare of the Republic of Croatia
Sažetak
In the period between October 1st and November 30th, 2006, we investigated a total of 3188 episodes of UTI (802 among males; 2386 among females) recorded in 108 family medicine offices in 20 cities in Croatia. The most common UTIs in women were acute uncomplicated cystitis (62%), complicated UTIs – cystitis and pyelonephritis (14%), urethritis (9%), acute uncomplicated pyelonephritis (6%), recurrent cystitis (5%), asymptomatic bacteriuria (3%) and recurrent pyelonephritis. The most common UTIs in men were complicated UTIs – cystitis and pyelonephritis (48%), urethritis (25%), prostatitis (24%) and asymptomatic bacteriuria (3%). Etiological diagnosis was made in 999 (31%) UTI episodes before antimicrobial therapy was given. The most frequently isolated causative pathogens were Escherichia coli (77%), Enterococcus faecalis (9%), Proteus mirabilis (5%), Klebsiella spp (3%), Streptococcus agalactiae (3%) and Enterobacter (1%). Antimicrobial drug was administered in 2939 (92.19%) UTI episodes, in 1940 (66.01%) as empirical therapy, and in 999 (34%) as targeted antimicrobial therapy. The most commonly administered drug in empirical therapy for acute uncomplicated cystitis, recurrent cystitis and urethritis in women was cephalexin, for acute uncomplicated pyelonephritis and complicated UTIs in women co-amoxiclav, and for UTIs in males ciprofloxacin. The results of this research of 3188 UTI episodes in family medicine physicians' offices provide a confirmatory answer to question whether empirical antimicrobial therapy of UTI prescribed by Croatian family practitioners is in accordance with the national guidelines.
Ključne riječi
urinary tract infections; epidemiology; etiology; clinical presentation; treatment; family medicine practitioners
Hrčak ID:
41908
URI
Datum izdavanja:
1.7.2009.
Posjeta: 1.781 *