Adherence to international guidelines for the treatment of uncomplicated urinary tract infections in Lebanon

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dc.contributor.author Kabbara, Wissam K.
dc.contributor.author Meski, Mohamad M.
dc.contributor.author Ramadan, Wijdan H.
dc.contributor.author Maaliki, Dina S.
dc.contributor.author Salameh, Pascale
dc.date.accessioned 2019-02-20T13:57:41Z
dc.date.available 2019-02-20T13:57:41Z
dc.date.copyright 2018 en_US
dc.date.issued 2019-02-20
dc.identifier.issn 1918-1493 en_US
dc.identifier.uri http://hdl.handle.net/10725/10061
dc.description.abstract Objective. The purpose of this study is to evaluate antibiotic-prescribing practices and adherence to IDSA guidelines for the treatment of uncomplicated urinary tract infections in Lebanon. Methods. This observational prospective study was conducted in 15 community pharmacies in Lebanon over 1 year in adult females. A regimen of nitrofurantoin 100 mg bid for 5 days or fosfomycin 3 grams single dose were considered appropriate. For the bivariate analysis, the chi-square test was used. Results. A total of 376 patients were included in this study. The prescribed antibiotic was appropriate in 35 percent of the patients. Age (more than 50 years) did not significantly affect the appropriateness of the prescribed antibiotic (p=0.508). The frequency of attacks per year (more than 3) negatively affected the choice of antibiotic (p=0.025). The dose and duration of the prescribed antibiotic was appropriate in 73 and 58 percent of the patients, respectively, with a significant inappropriate dose and duration with fluoroquinolones as compared to nitrofurantoin and fosfomycin (p less than 0.001) for the dose and p= 0.014 for the duration of therapy). Conclusions. In an era of increasing bacterial resistance, interventions that improve physicians’ prescribing practices for uncomplicated urinary tract infections are needed. en_US
dc.language.iso en en_US
dc.title Adherence to international guidelines for the treatment of uncomplicated urinary tract infections in Lebanon en_US
dc.type Article en_US
dc.description.version Published en_US
dc.author.school SOP en_US
dc.author.idnumber 200104485 en_US
dc.author.department Pharmacy Practice en_US
dc.description.embargo N/A en_US
dc.relation.journal Canadian Journal of Infectious Diseases and Medical Microbiology en_US
dc.journal.volume 2018 en_US
dc.identifier.doi https://doi.org/10.1155/2018/7404095 en_US
dc.identifier.ctation Kabbara, W. K., Meski, M. M., Ramadan, W. H., Maaliki, D. S., & Salameh, P. (2018). Adherence to International Guidelines for the Treatment of Uncomplicated Urinary Tract Infections in Lebanon. Canadian Journal of Infectious Diseases and Medical Microbiology, 2018. en_US
dc.author.email wissam.kabbara@lau.edu.lb en_US
dc.identifier.tou http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php en_US
dc.identifier.url https://www.hindawi.com/journals/cjidmm/2018/7404095/abs/ en_US
dc.orcid.id https://orcid.org/0000-0002-7310-9192 en_US
dc.author.affiliation Lebanese American University en_US

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