Medians for eight quality indicators (QI) and accompanying standards focusing on the choice of antibiotics prescribed for urinary tract infections (UTIs)
| Rationale behind QI | Definition of QI (numerator:denominator) | Standards (%) | Median, range 1–9 |
| Patients with lower UTI | |||
| QI19: Pivmecillinam is first choice antibiotic for treatment of UTI | Patients* with no penicillin allergy treated with pivmecillinam: patients* with no penicillin allergy treated with antibiotics | 90–100 | 9† |
| QI20: Ciprofloxacin is not first choice antibiotic for treatment of lower UTI | Patients* treated with ciprofloxacin: patients* treated with antibiotics | 0–5 | 9† |
| Patients with pyelonephritis | |||
| QI21: Pivmecillinam is first choice antibiotic for treatment of pyelonephritis | Patients‡ with no penicillin allergy treated with pivmecillinam: patients‡ with no penicillin allergy treated with antibiotics | 90–100 | 9† |
| QI22: Ciprofloxacin for treatment of pyelonephritis only if penicillin allergy | Patients‡ with penicillin allergy treated with ciprofloxacin: patients‡ treated with ciprofloxacin | 90–100 | 9† |
| Patients with catheter and UTI | |||
| QIC: Pivmecillinam is first choice antibiotic for treatment of catheter users with UTI | Patients§ with no penicillin allergy treated with pivmecillinam: patients§ with no penicillin allergy treated with antibiotics | 90–100 | 1 |
| QI23: Ciprofloxacin is not first choice antibiotic for treatment of catheter users with UTI | Patients§ with no penicillin allergy treated with ciprofloxacin: patients§ with no penicillin allergy treated with antibiotics | 0–10 | 9† |
| Patients with pregnancy and UTI | |||
| QI24: Pivmecillinam is first choice antibiotic for treatment of pregnant women with UTI | Patients¶ with no penicillin allergy treated with pivmecillinam: patients¶ with no penicillin allergy treated with antibiotics | 90–100 | 9† |
| QID: Trimethoprim is contraindicated for pregnant women | Patients¶ treated with trimethoprim: patients¶ treated with antibiotics | 0–10 | 1 |
Catheter: Chronic indwelling urethral or suprapubic catheter.
Unresolved: Continued suspicion of UTI, but, for example, awaiting a urine culture result.
*Patients with suspected lower UTI (the diagnosis: ‘complicated lower UTI’, ‘uncomplicated lower UTI’ and ‘unresolved’).
†Consensus of appropriateness after second round.
‡Patients diagnosed with pyelonephritis (the diagnosis: ‘pyelonephritis’).
§Catheter users with suspected UTI (the diagnosis: ‘complicated lower UTI’, ‘uncomplicated lower UTI’, ‘pyelonephritis’ and ‘unresolved’).
¶Pregnant women with suspected UTI (the diagnosis: ‘complicated lower UTI’, ‘uncomplicated lower UTI’, ‘pyelonephritis’ and ‘unresolved’).