Complications of overtreatment among UTI cases in Al-khoms teaching hospital, Al-khoms, Libya

Abstract

Urinary tract infections (UTIs) are a severe public health problem and are caused by a range of pathogens, but most commonly by Escherichia coli, Klebsiella pneumoniae, Proteus mirabilis, Enterococcus faecalis and Staphylococcus saprophyticus. The incidence of UTIs in adult males aged less than 50 years is low, with adult women being 30 times more likely than men to develop a UTI. Simple uncomplicated cystitis responds very well to oral antibiotics, but complicated UTIs may require early imaging, and referral to the emergency department or hospitalisation to prevent urosepsis may be warranted. This study is aimed to reduce the over treatment taken for UTI cases and to reduce the dosage levels. This study is aimed to reduce the over treatment taken for UTI cases and to reduce the dosage levels. Female and age interval between 31–40 years old and 61-70 years old were highest number of cases were observed. Escherichia coli remain the predominant uropathogen in acute community-acquired uncomplicated UTIs and amoxicillin-clavulanate is useful as a first-line antibiotic. Family physicians are capable of managing most UTIs if guided by appropriate history, investigations and appropriate antibiotics to achieve good outcomes and minimise antibiotic resistance.