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Canadian Journal of Infectious Diseases and Medical Microbiology
Volume 2018 (2018), Article ID 7404095, 6 pages
Research Article

Adherence to International Guidelines for the Treatment of Uncomplicated Urinary Tract Infections in Lebanon

1Department of Pharmacy Practice, School of Pharmacy, Lebanese American University (LAU), Byblos, Lebanon
2School of Pharmacy, Lebanese American University (LAU), Byblos, Lebanon
3Faculty of Medical Sciences, Lebanese University, Hadath, Lebanon

Correspondence should be addressed to Wissam K. Kabbara; bl.ude.ual@arabbak.massiw

Received 20 November 2017; Accepted 22 January 2018; Published 20 February 2018

Academic Editor: Giordano Dicuonzo

Copyright © 2018 Wissam K. Kabbara et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Objective. The purpose of this study is to evaluate antibiotic-prescribing practices and adherence to IDSA guidelines for the treatment of uncomplicated urinary tract infections in Lebanon. Methods. This observational prospective study was conducted in 15 community pharmacies in Lebanon over 1 year in adult females. A regimen of nitrofurantoin 100 mg bid for 5 days or fosfomycin 3 grams single dose were considered appropriate. For the bivariate analysis, the chi-square test was used. Results. A total of 376 patients were included in this study. The prescribed antibiotic was appropriate in 35 percent of the patients. Age (more than 50 years) did not significantly affect the appropriateness of the prescribed antibiotic (). The frequency of attacks per year (more than 3) negatively affected the choice of antibiotic (). The dose and duration of the prescribed antibiotic was appropriate in 73 and 58 percent of the patients, respectively, with a significant inappropriate dose and duration with fluoroquinolones as compared to nitrofurantoin and fosfomycin ( for the dose and for the duration of therapy). Conclusions. In an era of increasing bacterial resistance, interventions that improve physicians’ prescribing practices for uncomplicated urinary tract infections are needed.