Gellertstrasse 19, CH-4020 Basel, Switzerland
J Telemed Telecare. 2011;17(2):78-82. doi: 10.1258/jtt.2010.100406. Epub 2010 Nov 19.
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.
单纯性尿路感染（UTI）是女性在普通诊所就诊的常见原因。我们评估了瑞士远程医疗中心远程医疗管理的有效性和安全性。管理遵循循证方案，包括远程开抗生素处方。对接受包括抗生素处方在内的远程咨询的连续 UTI 患者，在三天后随访症状缓解、不良反应或是否需要就诊。在总共 526 名符合条件的女性中，有 95%可获得随访信息。远程咨询三天后，79%的患者报告完全缓解症状，92%的患者报告 UTI 症状减轻。5%的患者报告病情恶化，例如因疼痛、腰痛或发烧加剧。4%的患者报告了所开抗生素的副作用。在远程咨询后的三天内，4%的女性咨询了另一个医疗服务提供者，而没有进一步联系远程医疗中心。另有 8%的患者因出现其他症状或怀疑所开抗生素存在细菌耐药性而被转介至面对面咨询。与 UTI 文献数据相比，包括远程开抗生素处方在内的循证远程医疗管理与面对面咨询开出的处方一样安全有效。
