The 2017 Update of the German Clinical Guideline on Epidemiology, Diagnostics, Therapy, Prevention, and Management of Uncomplicated Urinary Tract Infections in Adult Patients: Part 1

Jennifer Kranz(Sankt-Antonius-Hospital Eschweiler), Stefanie J. Schmidt(Deutsche Gesellschaft für Urologie), Cordula Lebert(Nuremberg Hospital), Laila Schneidewind(Universitätsmedizin Greifswald), Falitsa Mandraka(University of Freiburg), Mirjam Kunze(Laboratory Dr. Wisplinghoff), Sina Helbig(University Hospital Carl Gustav Carus), W. Vahlensieck(Kerckhoff Klinik), Kurt G. Naber(Technical University of Munich), Guido Schmiemann(University of Bremen), Florian Wagenlehner(Justus-Liebig-Universität Gießen)
Urologia Internationalis
January 1, 2018
10.1159/000486138
Cited by 79

Abstract

OBJECTIVES: We aimed to update the 2010 evidence- and consensus-based national clinical guideline on the diagnosis and management of uncomplicated urinary tract infections (UTIs) in adult patients. MATERIALS AND METHODS: An interdisciplinary group consisting of 17 representatives of 12 medical societies and a patient representative was formed. Systematic literature searches were conducted in MEDLINE, -EMBASE, and the Cochrane Library to identify literature published in 2010-2015. RESULTS: We provide 75 recommendations and 68 statements in the updated evidence- and consensus-based national clinical guideline. The diagnostics part covers practical recommendations on cystitis and pyelonephritis for each defined patient group. Clinical examinations, as well as laboratory testing and microbiological pathogen assessment, are addressed. CONCLUSION: In accordance with the global antibiotic stewardship initiative and considering new insights in scientific research, we updated our German clinical UTI guideline to promote a responsible antibiotic use and to give clear hands-on recommendations for the diagnosis and management of UTIs in adults in Germany for healthcare providers and patients.

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