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Treatment of urinary tract infections in Dutch hospitals

Behandlung von Harnwegsinfektionen in holländischen Krankenhäusern

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Summary

The antibiotic policy in 34 Dutch formularies for the treatment of urinary tract infections (UTI) was evaluated. A great variation in antibiotic therapy for the treatment of cystitis was observed: the length of therapy ranged from 1 to 14 days, the agents recommended included older compounds such as trimethoprim-sulfamethoxazole and newer agents such as ciprofloxacin. Recommendations for the treatment of acute pyelonephritis were: a 2 week course of co-trimoxazole in 20 out of 34 formularies. Likewise for acute prostatitis less variation was observed for the length of treatment, i.e. 2 weeks co-trimoxazole, doxycycline or quinolones.

Zusammenfassung

Die übliche Antibiotikaanwendung wurde bei 34 Verordnungsweisen in holländischen Krankenhäusern bei Harnwegsinfektionen ermittelt. Dabei fand sich eine große Variationsbreite der Anwendungen von Antibiotika bei Zystitis mit Therapiedauer von 1–14 Tagen und Verwendung älterer Präparate wie Trimethoprim-Sulfamethoxazol und neueren wie Ciprofloxacin. Bei der akuten Pyelonephritis wurde bei 20 von 34 Verordnungen eine 2wöchige Co-Trimoxazolbehandlung empfohlen. Auch bei akuter Prostatitis wurde relativ einheitlich eine Therapiedauer von 2 Wochen mit Co-trimoxazol, Doxycyclin oder Chinolonen empfohlen.

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Authors and Affiliations

  1. Dept. of Medical Microbiology, University Hospital of Maastricht, P. O. Box 5800, NL-6202 AZ, Maastricht

    E. Stobberingh Ph. D.

  2. Dept. of Clinical Pharmacy, Maasland Hospital Sittard, The Netherlands

    R. Janknegt Ph. D.

  3. Dept. of Pulmonology, Foundation of Deventer Hospitals, The Netherlands

    W. J. A. Wijnands Ph. D.

Authors
  1. E. Stobberingh Ph. D.
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  2. R. Janknegt Ph. D.
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  3. W. J. A. Wijnands Ph. D.
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Stobberingh, E., Janknegt, R. & Wijnands, W.J.A. Treatment of urinary tract infections in Dutch hospitals. Infection 24, 234–237 (1996). https://doi.org/10.1007/BF01781099

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