[Acute uncomplicated cysititis: do we follow the guidelines?]

Autor:	Kulchavenya EV; FGBU Tuberculosis Research Institute of Minzdrav of Russia, Novosibirsk, Russia.; FGBU VO Novosibirsk State Medical University of Minzdrav of Russia, Novosibirsk, Russia.; FGBOU VO Altai State Medical University of the Ministry of Health of Russia, Barnaul, Russia.; FGBOU VO Krasnoyarsk State Medical University of the Ministry of Health of Russia, Krasnoyarsk, Russia., Neymark AI; FGBU Tuberculosis Research Institute of Minzdrav of Russia, Novosibirsk, Russia.; FGBU VO Novosibirsk State Medical University of Minzdrav of Russia, Novosibirsk, Russia.; FGBOU VO Altai State Medical University of the Ministry of Health of Russia, Barnaul, Russia.; FGBOU VO Krasnoyarsk State Medical University of the Ministry of Health of Russia, Krasnoyarsk, Russia., Borisenko DV; FGBU Tuberculosis Research Institute of Minzdrav of Russia, Novosibirsk, Russia.; FGBU VO Novosibirsk State Medical University of Minzdrav of Russia, Novosibirsk, Russia.; FGBOU VO Altai State Medical University of the Ministry of Health of Russia, Barnaul, Russia.; FGBOU VO Krasnoyarsk State Medical University of the Ministry of Health of Russia, Krasnoyarsk, Russia., Kapsargin FP; FGBU Tuberculosis Research Institute of Minzdrav of Russia, Novosibirsk, Russia.; FGBU VO Novosibirsk State Medical University of Minzdrav of Russia, Novosibirsk, Russia.; FGBOU VO Altai State Medical University of the Ministry of Health of Russia, Barnaul, Russia.; FGBOU VO Krasnoyarsk State Medical University of the Ministry of Health of Russia, Krasnoyarsk, Russia.
Jazyk:	ruština
Zdroj:	Urologiia (Moscow, Russia : 1999) [Urologiia] 2018 Dec (6), pp. 66-69.
Abstrakt:	Introduction: Lower urinary tract infection are a common urologic disease, but a therapy is not always optimal. Aim: to evaluate the compliance of prescriptions made by urologists in treatment of patients with lower urinary tract infection, in particular with acute uncomplicated cystitis. Materials and Methods: A specially designed questionnaire was filled out by 161 urologists from Novosibirsk, Barnaul and Krasnoyarsk, as well as participants of VII Congress of urologists of Siberia. Results: The survey showed that 34.8%, 27.9%, 22.4% and 14.9% of urologists had 6-10, 11-20, 1-5 and more than 20 patients with acute uncomplicated cystitis a month, respectively. According to results, 91.9% of urologists are familiar to National guidelines on treatment of lower urinary tract infections and 91.2% of doctors consider them to be reasonable. Among those surveyed, 29.2% of urologists believe that National Guidelines differ from European Guidelines; 95.7% of participants adhere to recommendations, but only 47.4% respect it almost always, 16.9% do it in half of cases and the remaining 35.7% comply with them in less than 40% cases. Moreover, 86.4% of urologists started a treatment of acute cystitis with antimicrobial therapy and preferred fosfomycin in 41.0%, nitrofurans in 20.9%, fluoroquinolones in 21.6% and cephalosporins in 16.5% cases, respectively. Almost all respondents (93.8%) are convinced that antibiotic therapy should be accompanied by phytotherapy, and 71.5% of urologists administer Canephron. Conclusion: In the urologic community there are controversies in the treatment of patients with acute uncomplicated cystitis. The choice of therapy is not always optimal.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu