Best Practice Guidelines for Treatment of Uncomplicated UTIs in Women While Decreasing Risk of Antibiotic Resistance

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Hdl Handle:
http://hdl.handle.net/10755/601713
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Title:
Best Practice Guidelines for Treatment of Uncomplicated UTIs in Women While Decreasing Risk of Antibiotic Resistance
Other Titles:
Using Nursing Practice Guidelines [Session]
Author(s):
Lo-Montano, Romina
Lead Author STTI Affiliation:
Omicron Delta
Author Details:
Romina Lo-Montano, APN, FNP-C, arcticfox002@yahoo.com
Abstract:
Session presented on Friday, July 24, 2015: Purpose: The purpose of this presentation is to educate providers about the most appropriate evidence-based treatment for uncomplicated UTIs in women and to improve awareness of the current problem with antibiotic resistance due to inappropriate prescribing. Methods: A review of the literature was conducted of meta-analysis and observational studies as well as findings from RCTs. Various current guidelines were reviewed and the recommendations from the Infectious Disease Society was decided upon as the recommended guideline in this project.' Results: Antibiotics have been used inappropriately. Rates of resistance have been on the rise. Uncomplicated UTIs have been treated unnecessarily with prolonged courses of antibiotics. Further evaluation regarding the cause of recurrent UTIs were often not performed. Urine cultures have been routinely sent with complaints of urinary tract symptoms which are unnecessary and a waste of resources.' Conclusion: Providers need to be aware of the current guidelines for treatment of uncomplicated UTIs in women. Flouroquinolones should be used as a last resort in order to preserve its effectiveness and prevent 'resistance. Macrobid is a five day course of antibiotic for treatment which is the first-line of defense. It has a very low rate of resistance despite being used for the last 40 years. Bactrim DS is the second-line of treatment but only for three days. It is imperative to practice antibiotic stewardship at all times in order to decrease potential adverse reactions in patients while protecting the effectiveness of antibiotics for future use.
Keywords:
Uncomplicated urinary tract infection; antibiotic resistance
Repository Posting Date:
17-Mar-2016
Date of Publication:
17-Mar-2016 ; 17-Mar-2016
Other Identifiers:
INRC15B11
Conference Date:
2015
Conference Name:
26th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
San Juan, Puerto Rico
Description:
Research Congress 2015 Theme: Question Locally, Engage Regionally, Apply Globally. Held at the Puerto Rico Convention Center.

Full metadata record

DC FieldValue Language
dc.language.isoenen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.titleBest Practice Guidelines for Treatment of Uncomplicated UTIs in Women While Decreasing Risk of Antibiotic Resistanceen
dc.title.alternativeUsing Nursing Practice Guidelines [Session]en
dc.contributor.authorLo-Montano, Rominaen
dc.contributor.departmentOmicron Deltaen
dc.author.detailsRomina Lo-Montano, APN, FNP-C, arcticfox002@yahoo.comen
dc.identifier.urihttp://hdl.handle.net/10755/601713-
dc.description.abstractSession presented on Friday, July 24, 2015: Purpose: The purpose of this presentation is to educate providers about the most appropriate evidence-based treatment for uncomplicated UTIs in women and to improve awareness of the current problem with antibiotic resistance due to inappropriate prescribing. Methods: A review of the literature was conducted of meta-analysis and observational studies as well as findings from RCTs. Various current guidelines were reviewed and the recommendations from the Infectious Disease Society was decided upon as the recommended guideline in this project.' Results: Antibiotics have been used inappropriately. Rates of resistance have been on the rise. Uncomplicated UTIs have been treated unnecessarily with prolonged courses of antibiotics. Further evaluation regarding the cause of recurrent UTIs were often not performed. Urine cultures have been routinely sent with complaints of urinary tract symptoms which are unnecessary and a waste of resources.' Conclusion: Providers need to be aware of the current guidelines for treatment of uncomplicated UTIs in women. Flouroquinolones should be used as a last resort in order to preserve its effectiveness and prevent 'resistance. Macrobid is a five day course of antibiotic for treatment which is the first-line of defense. It has a very low rate of resistance despite being used for the last 40 years. Bactrim DS is the second-line of treatment but only for three days. It is imperative to practice antibiotic stewardship at all times in order to decrease potential adverse reactions in patients while protecting the effectiveness of antibiotics for future use.en
dc.subjectUncomplicated urinary tract infectionen
dc.subjectantibiotic resistanceen
dc.date.available2016-03-17T12:53:31Zen
dc.date.issued2016-03-17-
dc.date.issued2016-03-17en
dc.date.accessioned2016-03-17T12:53:31Zen
dc.conference.date2015en
dc.conference.name26th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationSan Juan, Puerto Ricoen
dc.descriptionResearch Congress 2015 Theme: Question Locally, Engage Regionally, Apply Globally. Held at the Puerto Rico Convention Center.en
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