title: [Management of urinary tract infections in women. Epidemiologic survey of 7916 women in general practice].
abstract: OBJECTIVE
  To evaluate the management of urinary tract infections in women by general practitioners and compare it with official French guidelines.
  
  
  METHODS
  This survey enrolled 1587 general practitioners in France and 7916 adult women. Exclusion criteria for patients included: pregnancy, diabetes, neurogenic bladder, or urinary catheters. During the visit at which the diagnosis was made, physicians completed a questionnaire that included diagnostic and management details, in particular, prescription of further examinations.
  
  
  RESULTS
  According to the French guidelines, 37% of women had an upper or complicated urinary tract infection, although one third of the complicated infections were so defined only by the patient's age (>65 years). Additional testing was prescribed for 36% of the women with acute uncomplicated cystitis.
  
  
  CONCLUSIONS
  This study shows that the management of urinary tract infections in women does not comply with current guidelines, especially in cases of acute uncomplicated cystitis. The use of age alone as a complicating factor should be reconsidered.
authors.affiliation: Service d'Urologie, Hôpital Tenon, Paris. francois.haab@tnn.ap-hop-paris.fr
authors.forename: François
authors.initials: F
authors.lastname: Haab
authors.forename: Pierre
authors.initials: P
authors.lastname: Costa
authors.forename: Jean-Claude
authors.initials: JC
authors.lastname: Colau
authors.forename: Alain
authors.initials: A
authors.lastname: Gérard
authors.forename: François
authors.initials: F
authors.lastname: Liard
authors.forename: Jean-Marc
authors.initials: JM
authors.lastname: Bohbot
authors.forename: Jean-Joel
authors.initials: JJ
authors.lastname: Leng
authors.forename: Bernard
authors.initials: B
authors.lastname: Lobel
authors.forename: Claude-James
authors.initials: CJ
authors.lastname: Soussy
authors.forename: Patrick
authors.initials: P
authors.lastname: Boulanger
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002648:Child; D005260:Female; D005602:France; D019983:Guideline Adherence; D006801:Humans; D008875:Middle Aged; D010821:Physicians, Family; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D014552:Urinary Tract Infections / Q000175:diagnosis* / Q000188:drug therapy* / Q000453:epidemiology
chemical_list: D000900:Anti-Bacterial Agents