Treatment of acute lower urinary tract infections by family physicians of Community Health Center in County of Split and Dalmatia

CILJ ISTRAŽIVANJA: Cilj ovog istraživanja bio je istražiti koje antibiotike propisuju liječnici opće/obiteljske medicine u liječenju akutnih infekcija donjeg dijela mokraćnog sustava u žena te usporediti rezultate sa recentnim ISKRA smjernicama za liječenje IMS. MATERIJALI I METODE: U ovo istraživanje uključeno je 20 liječnika opće/obiteljske medicine zaposlenih u DZ SDŽ. Podatke smo prikupili prilagodbom programskog rješenja za vođenje ordinacije Softmed 2. U istraživanje su uključeni svi pacijenti u skrbi ispitanika kojima su u periodu od 01. siječnja 2018. god. do 31. prosinca 2019. godine u medicinski karton upisane dijagnoze N30, N30.0, N30.8. N30.9 te su zbog iste liječeni antibiotskom terapijom. REZULTATI: Najpropisivaniji antibiotici bili su cefalosporini II i III generacije, koji su propisani u 22,3% slučajeva. Kaomoksiklav je propisan u 18,5% slučajeva, a nitrofurantoin u 18,2% . Fosfomicin je na četvrtom mjestu sa 16,9%. Utvrđena je statistički značajna razlika u propisivanju antibiotika za akutne infekcije donjeg dijela mokraćnog sustava u žena s obzirom na dob pacijentica kao i s obzirom na spol, dob, godine radnog staža, specijalizaciju, veličinu tima i mjesto rada liječnika. ZAKLJUČAK: Liječnici opće/obiteljske medicine ne pridržavaju se zadanih smjernica u liječenju akutnih infekcija donjeg dijela mokraćnog sustava u žena bez obzira na spol, dob, godine radnog staža, specijalizaciju, veličinu tima i mjesto rada.OBJECTIVES: The aim of this study was to investigate which antibiotics are prescribed by family physicians in the treatment of acute lower urinary tract infections in women and to compare the results with recent ISKRA guidelines for the treatment of IMS. MATERIALS AND METHODS: 20 general / family physicians employed in Community Health Center in County of Split and Dalmatia were included in this research. We collected the data by adjusting the software Softmed 2. The study included all female patients in the care of chosen family physicians who in the period from January 1st 2018. until December 31st 2019 were diagnosed with N30, N30.0, N30.8, N30.9 and were treated with antibiotic therapy. RESULTS: The most prescribed antibiotics were second and third generation cephalosporins, which were prescribed in 22.3% of cases. Co-amoxiclav was prescribed in 18.5% of cases, and nitrofurantoin in 18.2%. Fosfomycin is in fourth place with 16.9%. There was a statistically significant difference in prescribing antibiotics for acute lower urinary tract infections in women with respect to the age of the patients as well as with respect to physicians’ gender, age, years of srvice, specialization, team size, and place of work. CONCLUSION: Family physicians do not follow the guidelines in the treatment of acute lower urinary tract infections in women regardless of gender, age, years of service, specialization, team size and place of work