Antibiotic Prescription Patterns in Patients with Suspected Urinary Tract Infection in Ecuador

Published: 23 August 2023| Version 1 | DOI: 10.17632/styystf2nj.1
Xavier Sánchez


The data source for the variables included in this study was the Electronic Health Records (EHR) of patients from 14 outpatient centers (8 urban and 6 rural) of the first level of healthcare, and from one second-level hospital of the Ministry of Public Health (MOPH) in Ibarra, Ecuador during 2019. These centers have been using EHR since 2010. The information was manually extracted from the EHR between March 27, 2021 and June 27, 2021. The selection of acute UTI cases was based on the International Classification of Diseases Tenth Revision (ICD-10). Two peer reviewers autonomously extracted data, adhering to the specified inclusion criteria: UTI cases identified by ICD-10 codes N10: Acute pyelonephritis, N300: Acute cystitis, and N390: Urinary tract infection, site not specified; individuals aged 18 and above who had been diagnosed with acute UTI and received treatment within the MOPH system, whether as outpatients or inpatients; and patients under the care of family, emergency, and internal medicine physicians. Exclusions comprised pregnant patients, those managed by other healthcare subsystems, and chronic UTI diagnoses including N30.1: Interstitial cystitis (chronic), N30.2: Other chronic cystitis, N11.0: Nonobstructive reflux-associated chronic pyelonephritis, and N11.1: Chronic obstructive pyelonephritis. Upon completion of individual data extraction, a thorough comparison was conducted, leading to consensus decisions regarding the inclusion or exclusion of each patient.


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Pontificia Universidad Catolica del Ecuador


Infectious Disease, Health