Adoption Rate of Standard Clinical Practice Guidelines in Management of Urinary Tract Infection in a Teaching Hospital of Tehran University of Medical Sciences During Year 2014

Urinary Tract Infection (UTIs) are among the most common infections and inadequate use of the available clinical guidelines leads to the inappropriate usage of antibiotics, which increases drug resistance. The present study aimed to examine the diagnostic methods and treatments for UTI with respect to the available guidelines for a group of patients who were admitted in the internal medicine wards of a teaching hospital. This was a retrospective descriptive and analytic cross-sectional study on patients with primary UTI  admitted in one of the educational hospitals of Tehran University of Medical Sciences during year 2014. After extracting the list of patients from the hospital’s archives, the files were checked for relevant data and the questionnaire was completed. The questionnaire in this study was designed based on IDSA (Infectious Diseases Society of America), Johns Hopkins, Sanford School and Mendel. Protocols were screened by the program administrators and examined by the infectious specialists. The analyses showed that the rate of correct treatment was 16.7% and the type of antibiotic was correctly selected in 55.1% of cases. Also, 15.4% of patients received first-line antibiotics, while 39.7% received second-line antibiotics. This study showed 56.4% of patients had structural disorders at admission and proteinuria was the most common structural disorder. our results showed insufficient and inadequate use of the clinical guidelines by the physicians. In that regard, we believe  workshops and training courses can improve the outcomes and reduce the costs imposed on the healthcare system.