Clinical application evaluation of clinical practice guideline on traditional Chinese medicine therapy alone or combined with antibiotics for uncomplicated lower urinary tract infection.
10.19540/j.cnki.cjcmm.2018.0126
- Author:
Guo-Yong YU
1
;
Yan-Ming XIE
2
;
Ning GAO
1
;
Yue SUN
1
;
Run-Pei MIAO
1
;
Shuai-Jie HAN
1
;
Han-Wen YANG
1
;
Min XIONG
1
;
Heng LIU
2
;
Xing LIAO
2
;
Yao-Xian WANG
1
;
Xiao-Nan SU
1
;
Xiao-Fang XU
1
;
Li-Fei WANG
1
;
Yan-Li LI
1
;
Jun-Hua ZHANG
3
;
Bo-Li ZHANG
3
Author Information
1. Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine, Beijing 100700, China.
2. Institute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, China.
3. Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China.
- Publication Type:Journal Article
- Keywords:
applicability evaluation;
application evaluation;
clinical practice guideline;
uncomplicated lower urinary tract infection
- MeSH:
Acupuncture Therapy;
Anti-Bacterial Agents;
Diagnosis, Differential;
Drugs, Chinese Herbal;
Humans;
Medicine, Chinese Traditional;
Urinary Tract Infections
- From:
China Journal of Chinese Materia Medica
2018;43(24):4746-4752
- CountryChina
- Language:Chinese
-
Abstract:
A questionnaire survey of 1 000 clinicians having experience in treating uncomplicated lower urinary tract infections from different levels of hospitals was conducted to mainly evaluate the applicability and effectiveness of clinical application of clinical practice guideline on traditional Chinese medicine therapy alone or combined with antibiotics for uncomplicated lower urinary tract infection(hereinafter referred to as Guideline). The research was conducted with the three-level quality control strictly throughout the process, and the data was real and reliable. The survey's results showed that: most clinicians considered that the Guideline had good clinical applicability. The availability and price of the recommended medicine were moderate. Traditional Chinese medicine had obvious features and advantages in treating lower urinary tract infection for it could reduce the usage of antibiotics and shorten the course of antibiotic application. In the recommendation section, clinicians proposed increasing medication guidance, updating the Guideline timely, as well as increasing treating methods and techniques, strengthen propaganda and promotion, and improve the use of evidence-based methods. In the evaluation of effectiveness, the majority of clinicians agreed that the definition in both traditional Chinese medicine (TCM) and Western medicine and differential diagnosis in the Guideline were accurately described and the basic principle of treatment as well as the treating method of TCM were recommended appropriately. The TCM formulas and Chinese patent medicine had good effect. Some clinicians suggested refining the syndrome differentiation of stranguria. Some clinicians considered that the formulas and herbs recommended in Guideline didn't have obvious effect and some had doubts about the manipulation of fumigation and washing in the part of other methods recommended in Guideline. Moreover, specification and procedure of manipulation of fumigation and washing using herbs and the acupuncture included in characteristic TCM therapy treating uncomplicated lower urinary tract infection remained to be developed.
