Table 3.
Appropriateness of antibiotic start-up treatment for UTIs and choice of antibiotic type for UTIs among residents in nursing homes
| France*** | Greece***** | Lithuania**** | Poland***** | Spain**** | Total | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Appropriateness of antibiotic start-up treatment decision | n | % | n | % | n | % | n | % | n | % | ||
| Highly appropriate | ≥ 2 lower UTI symptoms* OR flank/back pain | 16 | (38.1) | N/A | 6 | (33.3) | 50 | (72.5) | 30 | (15.1) | 102 | (31.1) |
| Likely appropriate | 1 lower UTI symptom AND one of systemic symptoms** | 1 | (2.4) | N/A | 1 | (5.6) | 5 | (7.3) | 3 | (1.5) | 10 | (3.0) |
| Likely inappropriate | 1 lower UTI symptom* and no systemic symptoms** | 9 | (21.4) | N/A | 6 | (33.3) | 7 | (10.1) | 31 | (15.6) | 53 | (16.2) |
| Highly inappropriate | No UTI symptoms | 16 | (38.1) | N/A | 5 | (27.8) | 7 | (10.1) | 135 | (67.8) | 163 | (49.7) |
| Total | 42 | (100) | N/A | 18 | (100) | 69 | (100) | 199 | (100) | 328 | (100) | |
| Appropriateness of the choice of antibiotic type | ||||||||||||
| First-line antibiotic, n (%) | 13 | (28.3) | N/A | 12 | (38.7) | 33 | (30.8) | 118 | (55.4) | 176 | ||
| Total | 46 | (100) | N/A | 31 | (100) | 107 | (100) | 213 | (100) | 397 (100) | ||
*Lower UTI symptoms: dysuria, urgency, frequency, incontinence (18)
**Systemic symptoms: fever or shaking chills
***National first-line antibiotic for cystitis: Fosfomycin, amoxicillin
****National first-line antibiotics for cystitis: Fosfomycin, nitrofurantoin
*****National first-line antibiotics for cystitis: Fosfomycin, nitrofurantoin, trimethoprim + sulfamethoxazole