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Anales de la Facultad de Ciencias Médicas (Asunción)

Print version ISSN 1816-8949


AVALOS BOGADO, Hugo Fernando et al. Management of urinary tract infections in the outpatient clinic: from the guides to clinical practice. An. Fac. Cienc. Méd. (Asunción) [online]. 2018, vol.51, n.3, pp.61-68. ISSN 1816-8949.


The infection of the urinary tract constitutes the second most frequent infectious process in the human being. Controversies exist regarding behavior in cases of asymptomatic bacteriuria, uncomplicated acute cystitis, acute pyelonephritis and management of catheterized patients.


With this descriptive study based on the conduct of a survey, we intend to compare the management of urinary tract infections in the outpatient clinic with respect to the recommendations of international guidelines.

Material and method:

A descriptive study was conducted based on a survey composed of 15 multiple-choice questions based on international guidelines for family doctors and primary health care (PHC). The statistical analysis of the data was performed with the Microsoft Excel 2003® program. The frequencies were expressed as percentages and the quantitative data such as mean, median and fashion.

Discussion and Results:

There is disagreement in the ambulatory management of urinary tract infections of the professionals surveyed in relation to what is established in the international guidelines.48.4% of doctors use ciprofloxacin as a first-line antibiotic for uncomplicated acute cystitis; 50.8% indicate antibiotic treatment for 6 to 10 days. With respect to the resistance of uropathogens, only 10% know how it is in their hospital centers. Regarding the treatment of acute pyelonephritis, 57% considered parenteral treatment necessary in all cases.

Keywords : uncomplicated acute cystitis; ciprofloxacin; acute pyelonephritis; asymptomatic bacteriuria; antibiotics resistance..

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