1 / 7

Practice based audit of 3-day treatment for uncomplicated cystitis

Practice based audit of 3-day treatment for uncomplicated cystitis. The Evidence. Uncomplicated utis are usually self-limiting and spontaneously resolve in a few days.MeReC Bulletin 2006.

harding-herman
Download Presentation

Practice based audit of 3-day treatment for uncomplicated cystitis

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Practice based audit of 3-day treatment for uncomplicated cystitis

  2. The Evidence • Uncomplicated utis are usually self-limiting and spontaneously resolve in a few days.MeReC Bulletin 2006. • Cochrane review: 3days treatment for uncomplicated utis in non pregnant women aged 18-65 yrs achieves symptomatic cure.Consider 5-10 days in whom eradication bacteruria is important(recurrent utis,planning pregnancy),renal angle pain,fever,rigors etc.

  3. 3 day regimes-first line • Trimethoprim 200mg bd Notes:resistance increases with age. • Nitrofurantoin 50-100mg qds Notes:avoid if eGFR <60 because of inadequate urine concentrations and concominant use alkalinising agents.

  4. What do we do? Practice based audit of uncomplicated utis in women aged 18-65 Suggested standard:95% could be treated with 3 days of an appropriate antibiotic Methodology:data on prescriptions for 1 commonly prescribed first line treatment( trimethoprim) were collected over a 2 month period.Those with symptoms/history/urine culture suggesting complicated infections were excluded.

  5. Results • Total no.women with uncomplicated uti aged 18-65 =24 • 3 days treatment 1 • 5 days treatment 22 • 7 days treatment 1

  6. Conclusions • Current NICE /SIGN guidance suggests 22 women could have been treated with 2 days fewer trimethoprim • Possible benefits incl.fewer side-effects,better compliance and a small reduction in cost • Implementing 3 day- regimes would need patient education and alteration of prescription details if the antibiotic is‘reinstated' from drug history screen

  7. Change? • Disseminate findings to those seeing women with uncomplicated uti;and discuss possible changes • Re-audit in 6 months

More Related