NICE recently completed a consultation on draft guidelines for treating lower urinary tract infections, with publication of the final version expected in January 2019.
This guidance highlights that patients should be counselled on self-care, including taking paracetamol, ensuring adequate fluid intake and explaining that there is no evidence for using cranberry products.
“We recognise that the majority of UTIs will require antibiotic treatment, but we need to be smarter with our use of these medicines,” says Professor Mark Baker, director for the Centre of Guidelines at NICE.
“Our new guidance will help healthcare professionals to optimise their use of antibiotics. This will help to protect these vital medicines and ensure that no one experiences side-effects from a treatment they do not need.”
Urinary tract infection (UTI) is the second most common clinical indication for empirical antimicrobial treatment in primary and secondary care, and urine samples constitute the largest single category of specimens examined in most medical microbiology laboratories.
Top tips to help improve antibiotic prescribing for UTIs include:
“Our surveillance shows that more than a third of laboratory confirmed E.coli UTIs display resistance to key antibiotics. We are therefore urging GP practices and hospitals to follow the new guidelines,” says Dr Susan Hopkins, deputy director for AMR and HCAI at Public Health England.
For more information about the UKCPA, click here.