Globally, lower urinary tract infections are among the most common reasons of patients’ visits the primary health care (PHC). At the same time, there is no clear decision on the leading role of a particular medical specialist for the management of such patients. An interdisciplinary approach seems to be optimal, based on the interaction of the attending physician (therapies, including local, general practitioner, family and feldshers) with the urologist.
OBJECTIVE
To assess the knowledge of medical specialists providing primary pre-physician and primary physician health care about the etiology of acute cystitis, methods of diagnosis and treatment of lower urinary tract infections, their compliance with modern clinical recommendations.
MATERIAL AND METHODS
As part of a population-based cross-sectional (one-time) study, a probability convenient sample was formed, which included 2.414 physicians (therapists, including local, general practitioners and family) and feldshers who agreed to an anonymous survey.
RESULTS
The survey data obtained indicate sufficient awareness of medical specialists when managing patients with uncomplicated lower urinary tract infection, in particular about the cause agent of acute cystitis, the disease characteristic symptoms, factors contributing to its development, methods of diagnosing and treatment in real clinical practice. At the same time, inconsistencies with the modern clinical recommendations in the knowledge of medical specialists regarding some aspects of patients with the pathology management, namely the use of diagnostic research methods and drug therapy regimens were identified.
CONCLUSION
There is a need to regularly improve of medical specialists knowledge level in the management of patients with uncomplicated lower urinary tract infection, in accordance with the modern clinical guidelines. This will ensure effective diagnosing and treatment of the disease, reducing the incidence of exacerbations and antibiotic resistance.