Physicians' adherence to guidelines for empirical treatment of urinary tract infection in Taiwan
Journal
Journal of Microbiology, Immunology and Infection
Journal Volume
40
Journal Issue
6
Pages
532-536
Date Issued
2007
Author(s)
Abstract
Background and Purpose: Guidelines for prescribing antibiotics for uncomplicated urinary tract infection (UTI) were established in Taiwan in 2000. This study investigated the extent of physicians' adherence to the guidelines for treating ambulatory women with UTI. Methods: National Health Insurance claims data were used to evaluate antibiotic prescription behavior for UTI among physicians serving in hospitals across the range of accreditation levels in Taiwan, including medical centers, regional hospitals, district teaching/non-teaching hospitals and community clinics. A random sample of 5047 female ambulatory care visits during 2001 and 2003 was analyzed. Results: Sulfonamides (trimethoprim and trimethoprim-sulfamethoxazole), first-generation cephalosporins and quinolones were the most commonly prescribed drugs. The overall guideline adherence rate for physicians was 72.1%. The differences in guideline adherence rates for physicians in medical centers (86.6%), regional hospitals (81.3%), district teaching/non-teaching hospitals (76.9%) and community clinics (69.5%) were statistically significant (chi-squared test; p<0.0001). Conclusion: Physicians in community clinics were less likely to adhere to guidelines in the treatment of ambulatory cases of UTI than physicians in any of the different levels of accredited hospitals in Taiwan. ? 2007 Journal of Microbiology, Immunology and Infection.
SDGs
Other Subjects
amoxicillin; ampicillin; antibiotic agent; cephalosporin derivative; chloramphenicol; cinofloxacin; ciprofloxacin; cotrimoxazole; doxycycline; enoxacin; fleroxacin; gentamicin; levofloxacin; lomefloxacin; metronidazole; nalidixic acid; nitrofurantoin; nitroxoline; norfloxacin; ofloxacin; pipemidic acid; quinoline derived antiinfective agent; sulfonamide; talampicillin; tetracycline; thiamphenicol; trimethoprim; unclassified drug; adolescent; adult; aged; antibiotic therapy; article; chi square test; community hospital; cystitis; female; health center; health insurance; hospital care; human; major clinical study; outpatient care; physician; practice guideline; prescription; public hospital; random sample; statistical significance; Taiwan; teaching hospital; urinary tract infection; Anti-Infective Agents, Urinary; Community Health Centers; Drug Utilization; Female; Guideline Adherence; Hospitals; Humans; Physician's Practice Patterns; Physicians; Quinolones; Sulfonamides; Taiwan; Urinary Tract Infections
Type
journal article
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