Selected Aspects of Urgent Noncomplicated Infection of Urinary Tract Curation in Ambulatory Practice and Teaching

Abstract

The high prevalence of urinary tract infections (STIs), frequent recurrent nature, decreased quality of life of patients and significant medical and social significance determines the importance of knowledge of primary care physicians (PMD) of a rational algorithm for managing patients with this pathology, as well as effective discipline «General Practice-Family Medicine».

The purpose is to analyze the basic, relevant in clinical practice and teaching, the provisions of the European Clinical Protocol (Croatia) for the management of uncomplicated infection of the urinary system, created on the basis of evidence. Symptomatic STI is treated with antimicrobials. Asymptomatic infection is similarly treated only in cases such as pregnancy, in patients who have immunocompromised or undergone kidney transplantation. However, these are cases of complicated STI. The antibiotic is selected on the basis of experience with national recommendations, data on bacterial resistance, characteristics of the drug (its spectrum of activity, efficacy, side effects, interaction with other medicines that the patient receives, method and frequency of administration, possible allergies, etc.) and health insurance provisions, which places restrictions on the administration of antibiotics.

Simple urinary tract infections are one of the most common bacterial infections through which patients visit their family doctor. Women especially suffer. Important symptoms and signs are polakuria and dysuria, the feeling of incomplete emptying of the bladder and the appearance of blood in the urine. The most common pathogen is E. coli. The probability of making a correct diagnosis based on the clinical picture alone and the anamnesis is high if the clinic is typical. Therefore, it is advisable to empirically treat patients with these characteristic symptoms without any laboratory urinalysis following the guidelines of ISKRA.