Samenvatting van de standaard 'Urineweginfecties' (tweede herziening) van het Nederlands Huisartsen Genootschap

- The 1999 practice guideline ‘Urinary-tract infections’ from the Dutch College of General Practitioners has been revised.

- Not only febrile urinary-tract infections are now regarded as ‘complicated’, but also all urinary-tract infections in men, pregnant women, children, and patients with kidney or urinary-tract disease, impaired immune response or an indwelling catheter.

- Under certain conditions, in women recognising the symptoms of an earlier uncomplicated urinary-tract infection, treatment may be instituted without performing supplementary urinalysis.

- The nitrite dipstick test and dipslide culturing are recommended for the diagnosis of urinary-tract infections; the value of the leukocyte esterase dipstick test is limited.

- A group-B streptococcal urinary-tract infection during pregnancy is an indication for intravenous antibiotic prophylaxis during the delivery.

- The recommended duration of treatment with nitrofurantoin is extended from three to five days.

- Both increased bacterial resistance to trimethoprim and the intention to reduce the use of fluoroquinolones in the treatment of uncomplicated urinary-tract infections were reasons for including phosphomycin in the guideline.

- In addition to antibiotic prophylaxis, cranberry products may be of value in the prevention of recurrent urinary-tract infections.

Ned Tijdschr Geneeskd. 2006;150:718-22