| Effectiveness and safety of telemedical management in uncomplicated urinary tract infections. | |
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MedLine Citation:
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PMID: 21097562 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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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. |
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Authors:
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Eva Blozik; Carsten Sommer-Meyer; Manuela Cerezo; Jan von Overbeck |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2010-11-19 |
Journal Detail:
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Title: Journal of telemedicine and telecare Volume: - ISSN: 1758-1109 ISO Abbreviation: J Telemed Telecare Publication Date: 2010 Nov |
Date Detail:
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Created Date: 2010-11-24 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9506702 Medline TA: J Telemed Telecare Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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Swiss Centre for Telemedicine Medgate, Basel, Switzerland. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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