J Telemed Telecare - Effectiveness and safety of telemedical management in uncomplicated urinary tract infections.

Tópicos

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Resumo

Uncomplicated urinary tract infections (UUTI) in women are frequent reasons for consultations in general practice. We evaluated the effectiveness and safety of telemedical management at a telemedicine centre in Switzerland. Management followed evidence-based protocols, including teleprescription of an antibiotic. Consecutive UUTI patients who had a teleconsultation including the prescription of an antibiotic were followed up three days later about symptom relief, adverse events or the need to visit a doctor. Of a total of 526 eligible women, follow-up information was available for 95%. Three days after teleconsultation, 79% of patients reported complete symptom relief, and 92% reported a reduction of UUTI symptoms. Five percent of patients reported deterioration, e.g. due to an increase of pain, flank pain or fever. Four percent reported side-effects of the prescribed antibiotics. In the three days following teleconsultation, 4% of women consulted another health-care provider without further contacting the telemedicine centre. Another 8% of patients were referred to face-to-face consultation because they developed additional symptoms or because bacterial resistance of the prescribed antibiotic was suspected. Compared to data from the literature on UUTI, evidence-based telemedical management including teleprescription of an antibiotic is as safe and effective as prescriptions initiated by a face-to-face consultation.

Resumo Limpo

uncompl urinari tract infect uuti women frequent reason consult general practic evalu effect safeti telemed manag telemedicin centr switzerland manag follow evidencebas protocol includ teleprescript antibiot consecut uuti patient teleconsult includ prescript antibiot follow three day later symptom relief advers event need visit doctor total elig women followup inform avail three day teleconsult patient report complet symptom relief report reduct uuti symptom five percent patient report deterior eg due increas pain flank pain fever four percent report sideeffect prescrib antibiot three day follow teleconsult women consult anoth healthcar provid without contact telemedicin centr anoth patient refer facetofac consult develop addit symptom bacteri resist prescrib antibiot suspect compar data literatur uuti evidencebas telemed manag includ teleprescript antibiot safe effect prescript initi facetofac consult

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