title: [Do general practitioners follow the therapeutical recommendations of cystitis in women? INURA study].
abstract: OBJECTIVE
  The management of lower urinary tract infections varies from physician to physician. The aim of this study was to assess whether general practitioners follow the evidence-based guidelines for the management of cystitis in women.
  
  
  METHODS
  Cross-sectional study carried out from March to July 2009 in which physicians consecutively registered in a template during a 8-week period the first six episodes of cystitis by means attended at the medical consultation. Age, episode of infection, associated morbidity, antibiotic prescription, and type of antibiotic course (short or long regimen) were determined.
  
  
  RESULTS
  Out of 176 physicians invited to participate, 110 included 658 women with lower urinary tract infections with antibiotic treatment being administered in 634 cases. Short courses were given to 385 women (60.7%) and 249 women were given long schedules (39.3%). A total of 343 out of all noncomplicated cystitis were treated with short courses (62.9%) and 75 out of complicated cystitis were treated with long courses (66.4%). First-choice antibiotics were administered as empiric treatment in only 111 women (17.5%).
  
  
  CONCLUSIONS
  These results highlight a poor adherence of general practitioners to current recommendations of clinical practice guidelines in cystitis with a low utilization of first-choice antibiotics.
authors.affiliation: Centro de Sallud I, C/ Cronista Jaime Faus y Faus s/n. grabanaquem@papps.org
authors.forename: Gloria
authors.initials: G
authors.lastname: Rabanaque
authors.forename: Ana
authors.initials: A
authors.lastname: López
authors.forename: Josep Maria
authors.initials: JM
authors.lastname: Cots
authors.forename: Carles
authors.initials: C
authors.lastname: Llor
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000627:therapeutic use*; D003430:Cross-Sectional Studies; D003556:Cystitis / Q000188:drug therapy*; D004334:Drug Administration Schedule; D019317:Evidence-Based Medicine; D005260:Female; D058005:General Practitioners / Q000706:statistics & numerical data*; D019983:Guideline Adherence / Q000706:statistics & numerical data*; D006801:Humans; D008875:Middle Aged; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D011320:Primary Health Care; D013030:Spain; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents