FORMATION OF THE AMBULATORY ALGORITHM FOR THE PATIENT’S MANAGING WITH INFECTION OF THE URINARY TRACT INFECTIONS, TAKING INTO ACCOUNT THE NEEDS OF PREVENTION OF THE POSSIBLE COMPLICATIONS
DOI:
https://doi.org/10.11603/1811-2471.2019.v.i4.10788Keywords:
uncomplicated and complicated urinary tract infection, antimicrobial therapy, patient's management, counseling, temporary disabilityAbstract
The high prevalence of urinary tract infections (UTI), frequent recurrent nature, possible complications, decreased quality of life of patients and significant medical and social significance determines the importance of knowledge of primary care physicians of a rational algorithm for managing patients with this pathology.
The aim is to analyze the basic, relevant in clinical practice, the provisions of the European Clinical Protocol (Croatia) for the management of evidence of urinary tract, created on the basis of evidence, on the example of a profile patient.
The main body. Symptomatic UTI is treated with antibiotics. Asymptomatic infection is similarly treated only in cases such as pregnancy, erectile dysfunction, patients who have immunocompromised or have undergone kidney transplantation. However, there are cases of complicated UTI. The antibiotic is selected on the basis of experience with national recommendations, data on bacterial resistance, characteristics of the drug (its range of action, efficacy, side effects, interaction with other medicines that the patient is taking, method and frequency of administration, possible allergies, etc.) and health insurance provisions , which places restrictions on the administration of antibiotics.
Conclusions. Uncomplicated urinary tract infections are one of the most common bacterial infections through which patients visit their family doctor. Important symptoms and signs are pollakisuria and disuria, the feeling of incomplete emptying of the bladder and the appearance of blood in the urine. Complications are possible: chronicity of the process, erectile dysfunction, etc.
The most common pathogen is E. coli. The likelihood of making a correct diagnosis based on the clinical picture and medical history alone 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.
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