{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,6,18]],"date-time":"2024-06-18T17:54:26Z","timestamp":1718733266970},"reference-count":33,"publisher":"Akademiai Kiado Zrt.","issue":"15","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orvosi Hetilap"],"published-print":{"date-parts":[[2014,4]]},"abstract":"Introduction: Urinary tract infections are one of the common diseases in the primary health care. Aim: To analyse patterns of ambulatory antibiotic use in acute cystitis. Method: Antibiotic use data was based on national-level prescription turnovers. Patterns of antibiotic use were evaluated by prescribing quality indicators. The content of different national guidelines for treatment of acute cystitis and adherence to these guidelines were also evaluated. Results: For the treatment of acute cystitis quinolones were used predominantly. Norfloxacin (26%) and ciprofloxacin (19%) were prescribed most commonly. The use of internationally recommended agents such as sulphonamides, nitrofurans and fosfomycin shared 15%, 7% and 2%, respectively. The average adherence rate to national guidelines was 66% and certain weak points (e.g. controversial content) of the national guidelines were also identified. Conclusions: Antibiotic use in acute cystitis seems to be suboptimal in Hungary. Considering actual local antibiotic resistance patterns, a new national guideline should be worked out for acute cystitis treatment. Orv. Hetil., 2014, 155(15), 590\u2013596.<\/jats:p>","DOI":"10.1556\/oh.2014.29804","type":"journal-article","created":{"date-parts":[[2014,4,7]],"date-time":"2014-04-07T01:01:45Z","timestamp":1396832505000},"page":"590-596","source":"Crossref","is-referenced-by-count":3,"title":["Treatment practice of acute cystitis on the basis of national prescription data"],"prefix":"10.1556","volume":"155","author":[{"given":"Zolt\u00e1n","family":"Juh\u00e1sz","sequence":"first","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar I. Belgy\u00f3gy\u00e1szati Klinika, Infektol\u00f3giai Oszt\u00e1ly Szeged K\u00e1lv\u00e1ria sug\u00e1r\u00fat 57. 6725"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ria","family":"Benk\u0151","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, Gy\u00f3gyszer\u00e9sztudom\u00e1nyi Kar Klinikai Gy\u00f3gyszer\u00e9szeti Int\u00e9zet Szeged"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M\u00e1ria","family":"Matuz","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, Gy\u00f3gyszer\u00e9sztudom\u00e1nyi Kar Klinikai Gy\u00f3gyszer\u00e9szeti Int\u00e9zet Szeged"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R\u00e9ka","family":"Viola","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, Gy\u00f3gyszer\u00e9sztudom\u00e1nyi Kar Klinikai Gy\u00f3gyszer\u00e9szeti Int\u00e9zet Szeged"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gy\u00f6ngyv\u00e9r","family":"So\u00f3s","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, Gy\u00f3gyszer\u00e9sztudom\u00e1nyi Kar Klinikai Gy\u00f3gyszer\u00e9szeti Int\u00e9zet Szeged"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edit","family":"Hajd\u00fa","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar I. Belgy\u00f3gy\u00e1szati Klinika, Infektol\u00f3giai Oszt\u00e1ly Szeged K\u00e1lv\u00e1ria sug\u00e1r\u00fat 57. 6725"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"1","doi-asserted-by":"crossref","unstructured":"Costelloe, C., Metcalfe, C., Lovering, A., et al.:<\/i> Effect of antibiotic prescribing in primary care on antimicrobial resistance in individual patients: systematic review and meta-analysis. BMJ, 2010, 340,<\/i> c2096.","DOI":"10.1136\/bmj.c2096"},{"key":"2","unstructured":"ECDC Surveillance Report. Surveillance of antimicrobial consumption in Europe 2010. European Centre for Disease Prevention and Control, 2013. http:\/\/www.ecdc.europa.eu\/en\/publications\/Publications\/antimicrobial-antibiotic-consumption-ESAC-report-2010-data.pdf<\/a>"},{"key":"3","unstructured":"Katona, Z., Moln\u00e1r, I.:<\/i> Importance of professional proposals in the era of broadening antibiotic resistance. [Egyes szakmai aj\u00e1nl\u00e1sok jelent\u0151s\u00e9ge az antibiotikum-rezisztencia kiterjed\u00e9s\u00e9nek kor\u00e1ban.] Orv. Hetil., 2000, 141<\/i>(49), 2639\u20132647. [Hungarian]"},{"key":"4","unstructured":"Katona, Z.:<\/i> Continuous quality improvement with the use of new, evidence based quality indicators in the primary health care: there is a real possibility to restrain the unnecessary raising of antibiotic resistance. [Folyamatos min\u0151s\u00e9gjav\u00edt\u00e1s az alapell\u00e1t\u00e1sban racion\u00e1lis, bizony\u00edt\u00e9kokra alapozott min\u0151s\u00e9gi indik\u00e1torok haszn\u00e1lat\u00e1val: Re\u00e1lis lehet\u0151s\u00e9g a felesleges antibiotikus rezisztenciafokoz\u00e1s megf\u00e9kez\u00e9s\u00e9re.] Orv. Hetil., 2005, 146<\/i>(39), 2005\u20132010. [Hungarian]"},{"key":"5","doi-asserted-by":"crossref","unstructured":"McEwen, L. N., Farjo, R., Foxman, B.:<\/i> Antibiotic prescribing for cystitis: how well does it match published guidelines? Ann. Epidemiol., 2003, 13<\/i>(6), 479\u2013483.","DOI":"10.1016\/S1047-2797(03)00009-7"},{"key":"6","doi-asserted-by":"crossref","unstructured":"Salvatore, S., Salvatore, S., Cattoni, E., et al.:<\/i> Urinary tract infections in women. Eur. J. Obstet. Gynecol. Reprod. Biol., 2011, 156<\/i>(2), 131\u2013136.","DOI":"10.1016\/j.ejogrb.2011.01.028"},{"key":"7","doi-asserted-by":"crossref","unstructured":"Nicolle, L. E.:<\/i> Epidemiology of urinary tract infections. Clin. Microbiol. Newsl., 2002, 24<\/i>(18), 135\u2013140.","DOI":"10.1016\/S0196-4399(02)80035-6"},{"key":"8","doi-asserted-by":"crossref","unstructured":"Ara\u00fajo, S. M., Mour\u00e3o, T. C., Oliveira, J. L., et al.:<\/i> Antimicrobial resistance of uropathogens in women with acute uncomplicated cystitis from primary care settings. Int. Urol. 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H\u00fagy\u00fati infekci\u00f3k feln\u0151ttekn\u00e9l.] Medition Kiad\u00f3, Budapest, 2007. [Hungarian]"},{"key":"14","doi-asserted-by":"crossref","unstructured":"Sheerin, N. S.:<\/i> Urinary tract infection. Medicine, 2011, 39<\/i>(7), 384\u2013389.","DOI":"10.1016\/j.mpmed.2011.04.003"},{"key":"15","doi-asserted-by":"crossref","unstructured":"Wagenlehner, F. M., Naber, K. G.:<\/i> Treatment of bacterial urinary tract infections: presence and future. Eur. Urol., 2006, 49<\/i>(2), 235\u2013244.","DOI":"10.1016\/j.eururo.2005.12.017"},{"key":"16","doi-asserted-by":"crossref","unstructured":"Ong, D. S., Kuyvenhoven, M. M., van Dijk, L., et al.:<\/i> Antibiotics for respiratory, ear and urinary tract disorders and consistency among GPs. J. Antimicrob. Chemother., 2008, 62<\/i>(3), 587\u2013592.","DOI":"10.1093\/jac\/dkn230"},{"key":"17","doi-asserted-by":"crossref","unstructured":"Rautakorpi, U. M., Huikko, S., Honkanen, P., et al.:<\/i> The Antimicrobial Treatment Strategies (MIKSTRA) program: a 5-year follow-up of infection-specific antibiotic use in primary health care and the effect of implementation of treatment guidelines. Clin. Infect. Dis., 2006, 42<\/i>(9), 1221\u20131230.","DOI":"10.1086\/503036"},{"key":"18","doi-asserted-by":"crossref","unstructured":"Llor, C., Rabanaque, G., L\u00f3pez, A., et al.:<\/i> The adherence of GPs to guidelines for the diagnosis and treatment of lower urinary tract infections in women is poor. Fam. Pract., 2011, 28<\/i>(3), 294\u2013299.","DOI":"10.1093\/fampra\/cmq107"},{"key":"19","doi-asserted-by":"crossref","unstructured":"Taur, Y., Smith, M. A.:<\/i> Adherence to the Infectious Diseases Society of America guidelines in the treatment of uncomplicated urinary tract infection. Clin. Infect. 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[Orsz\u00e1gos Epidemiol\u00f3giai K\u00f6zpont:<\/i> A hazai mikrobiol\u00f3giai surveillance antibiotikum rezisztencia eredm\u00e9nyei.] http:\/\/www.oek.hu\/oek.web?nid=666&pid=3<\/a> [Hungarian]"},{"key":"23","unstructured":"European Antimicrobial Resistance Surveillance System (EARSS) Annual report 2006. http:\/\/www.ecdc.europa.eu\/en\/activities\/surveillance\/ears-net\/documents\/2006_earss_annual_report.pdf<\/a>"},{"key":"24","doi-asserted-by":"crossref","unstructured":"Kahan, E., Kahan, N. R., Chinitz, D. P.:<\/i> Urinary tract infection in women \u2013 physician\u2019s preferences for treatment and adherence to guidelines: a national drug utilization study in a managed care setting. Eur. J. Clin. Pharmacol., 2003, 59<\/i>(8\u20139), 663\u2013668.","DOI":"10.1007\/s00228-003-0673-4"},{"key":"25","doi-asserted-by":"crossref","unstructured":"Schito, G. C.:<\/i> Why fosfomycin trometamol as first line therapy for uncomplicated UTI? Int. J. Antimicrob. 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Agents, 2012, 40<\/i>(6), 554\u2013556.","DOI":"10.1016\/j.ijantimicag.2012.08.003"},{"key":"28","doi-asserted-by":"crossref","unstructured":"Zalmanovici Trestioreanu, A., Green, H., Paul, M., et al.:<\/i> Antimicrobial agents for treating uncomplicated urinary tract infection in women. Cochrane Database Syst. Rev., 2010, 10<\/i>, CD007182.","DOI":"10.1002\/14651858.CD007182.pub2"},{"key":"29","doi-asserted-by":"crossref","unstructured":"Wagenlehner, F. M., Hoyme, U., Kaase, M., et al.:<\/i> Uncomplicated urinary tract infections. Dtsch. Arztebl. Int., 2011, 108<\/i>(24), 415\u2013423.","DOI":"10.3238\/arztebl.2011.0415"},{"key":"30","doi-asserted-by":"crossref","unstructured":"Gupta, K., Hooton, T. M., Naber, K. G., et al.:<\/i> International clinical practice guidelines for the treatment of acute uncomplicated cystitis and pyelonephritis in women: A 2010 update by the Infectious Diseases Society of America and the European Society for Microbiology and Infectious Diseases. Clin. Infect. Dis., 2011, 52<\/i>(5), e103\u2013e120.","DOI":"10.1093\/cid\/ciq257"},{"key":"31","unstructured":"Mazzulli, T.:<\/i> Diagnosis and management of simple and complicated urinary tract infections (UTIs). Can. J. Urol. 2012, 19<\/i>(51), 42\u201348."},{"key":"32","doi-asserted-by":"crossref","unstructured":"Baerheim, A.:<\/i> Empirical treatment of uncomplicated cystitis. Scand. J. Prim. Health Care, 2012, 30<\/i>(1), 1\u20132.","DOI":"10.3109\/02813432.2012.649629"},{"key":"33","unstructured":"Colgan, R., Williams, M..:<\/i> Diagnosis and treatment of acute uncomplicated cystitis. Am. Fam. 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