Skip to main content
SpringerLink
Log in

Beyond antibiotic selection: concordance with the IDSA guidelines for uncomplicated urinary tract infections

  • Case Report
  • Published:
Infection Aims and scope Submit manuscript

Abstract

The purpose of this report was to evaluate concordance with the most recent guidelines for the treatment of uncomplicated UTI based on antibiotic selection, dosage, frequency, and duration. A historical review of patients’ medical records at a university-based internal medicine clinic was conducted. When aggregated across antibiotic type, frequency, and duration, overall concordance was 33.96 %. Prescribing concordance for uncomplicated UTI in the local region is suboptimal.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

References

  1. Taur Y, Smith MA. Adherence to the infectious disease society of America guidelines in the treatment of uncomplicated urinary tract infection. Clin Infect Dis. 2007;44:769–74.

    Article  PubMed  Google Scholar 

  2. Llor C, Rabanaque G, Lopez A, Cots JM. The adherence of GPs to guidelines for the diagnosis and treatment of lower urinary tract infections in women is poor. Fam Pract. 2011;28:294–9.

    Article  PubMed  Google Scholar 

  3. Gupta K, Hooton TM, Naber KG, et al. International clinical practice guidelines for the treatment of acute uncomplicated cystitis and pyelonephritis in women: a 2010 update by the Infectious Disease Society of America and the European Society for Microbiology and Infectious Disease. Clin Infect Dis. 2011;52:e103–20.

    Article  PubMed  Google Scholar 

  4. Cockcroft DW, Gault MH. Prediction of creatinine clearance from serum creatinine. Nephron. 1976;16:31–41.

    Article  CAS  PubMed  Google Scholar 

  5. Ciprofloxacin monograph. Lexicomp Online, Hudson, Ohio: Lexi-Comp, Inc.; April 2, 2013.

  6. Cephalexin monograph. Lexicomp Online, Hudson, Ohio: Lexi-Comp, Inc.; April 2, 2013.

  7. Nitrofurantoin monograph. Lexicomp Online, Hudson, Ohio: Lexi-Comp, Inc.; April 2, 2013.

  8. Oplinger M, Andrews CO. Nitrofurantoin contraindication in patients with creatinine clearance below 60 mL/min: looking for the evidence. Ann Pharmacother. 2013;47:106–11.

    Article  PubMed  Google Scholar 

  9. Gupta K, Hooton TM, Roberts MS, Stamm WE. Short-course nitrofurantoin for the treatment of acute uncomplicated cystitis in women. Arch Intern Med. 2007;167:2207–12.

    Article  CAS  PubMed  Google Scholar 

  10. Slekovec C, Leroy J, Vernaz-Hegi N, et al. Impact of a region wide antimicrobial stewardship guideline on urinary tract infection prescription patterns. Int J Clin Pharm. 2012;34:325–9.

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

No contributors or funders to report. This manuscript was not presented elsewhere.

Conflict of interest

The authors declare that they have no conflict of interest.

Author information

Authors and Affiliations

  1. The University of Oklahoma College of Pharmacy, 4502 East 41st Street, Suite 2H34, Tulsa, OK, 74135, USA

    M. Kim, A. Lloyd, M. Condren & M. J. Miller

Authors
  1. M. Kim
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. A. Lloyd
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. M. Condren
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. M. J. Miller
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to A. Lloyd.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Kim, M., Lloyd, A., Condren, M. et al. Beyond antibiotic selection: concordance with the IDSA guidelines for uncomplicated urinary tract infections. Infection 43, 89–94 (2015). https://doi.org/10.1007/s15010-014-0659-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s15010-014-0659-4

Keywords

Search

Navigation