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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

  • 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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Author: Jennifer Kranz, Stefanie Schmidt, Cordula Lebert, Laila Schneidewind, Falitsa Mandraka, Mirjam Kunze, Sina Helbig, Winfried Vahlensieck, Kurt Naber, Guido Schmiemann, Florian M. Wagenlehner
URN:urn:nbn:de:gbv:9-opus-32115
DOI:https://doi.org/10.1159/000486138
ISSN:0042-1138
ISSN:1423-0399
Pubmed Id:https://pubmed.ncbi.nlm.nih.gov/29342469
Parent Title (English):Urologia Internationalis
Publisher:S. Karger AG
Place of publication:Basel, Switzerland
Document Type:Article
Language:English
Date of first Publication:2018/01/17
Release Date:2020/10/05
Tag:Clinical guideline; Cystitis; Diagnosis; Pyelonephritis; Systematic review; Urinary tract infection
GND Keyword:-
Volume:100
Issue:3
First Page:263
Last Page:270
Faculties:Universitätsmedizin / Kliniken und Polikliniken für Innere Medizin
Licence (German):License LogoUrheberrechtlich geschützt