AI Article Synopsis
- The study aimed to assess how urinary tract infections (UTIs), particularly uncomplicated cystitis, are prescribed for women in New Zealand.
- It involved community pharmacies where women with UTI symptoms completed a questionnaire over a two-week period in 2012, leading to data from 789 patients.
- Results showed that while first-line antibiotics were commonly prescribed, there was significant use of norfloxacin and frequent deviations from recommended dosages and treatment durations.
Article Abstract
Aims: To describe prescribing for women with suspected urinary tract infections, including suspected uncomplicated cystitis, in New Zealand.
Methods: Randomly selected community pharmacies participated in the study. Women attending the pharmacy in a 2-week period in 2012 for prescribed or non-prescription treatment of symptoms suggesting a urinary tract infection, or prophylaxis of a urinary tract infection, were invited to self-complete a questionnaire. Analysis focused on prescribing for women with symptoms of cystitis without complicating features.
Results: Valid questionnaires arising from a prescription treatment were received from 789 patients from 139 pharmacies. Questionnaire data indicated that 17% of women had symptoms of cystitis without complicating features. Most prescribing was for a first-line agent, trimethoprim (59%) or nitrofurantoin (14%), but norfloxacin was also common (21%). Women with self-reported antibiotic use for suspected cystitis in the past 6 months were more likely to be prescribed norfloxacin than those with no such use. Many prescriptions were for a dose or duration outside those recommended in New Zealand guidelines.
Conclusions: While use of first-line agents is generally high, norfloxacin use could be reduced further. There is scope to understand clinical practice that deviates from guideline use regarding dose and duration.
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