Cystitis and Utipro® Plus: Real-World Evidence
Karel Kostev1,2, Tommaso Cai3,4
1Epidemiology, IQVIA S.L., 60549 Frankfurt am Main, Germany.
Healthcare (Basel, Switzerland)
|September 28, 2023
Summary
This study shows that Utipro® Plus, a medical device, can reduce urinary tract infection (UTI) episodes and antibiotic use. It also decreases sick leave days for individuals with uncomplicated cystitis.
Area of Science:
- Urology
- Infectious Diseases
- Pharmacology
Background:
- Rising antibiotic resistance in urinary tract infection (UTI) pathogens necessitates alternative treatments.
- Uncomplicated cystitis management requires novel strategies beyond antibiotics.
Purpose of the Study:
- To assess the efficacy of Utipro® Plus, a medical device containing xyloglucan, hibiscus, and propolis.
- To evaluate its impact on reducing symptomatic urinary tract infection (UTI) episodes.
- To determine its effect on antibiotic prescriptions and sick leave duration.
Main Methods:
- Retrospective, cross-sectional study utilizing German office-based physician data (IQVIA Disease Analyzer).
- Analysis of 3586 patients diagnosed with UTI and treated with Utipro® Plus between January 2015 and December 2020.
- Comparison of UTI incidence, antibiotic prescriptions, and sick leave days in the 12 months before and after treatment initiation.
Main Results:
- Significant reduction in UTI diagnosis proportion from 79.4% to 36.4% (p < 0.001) within 12 months post-treatment.
- Marked decrease in antibiotic prescriptions from 33.5% to 22.1% (p < 0.001).
- Reduction in the proportion of patients with sick leave days from 4.1% to 2.7%.
Conclusions:
- Utipro® Plus demonstrates effectiveness in decreasing urinary tract infection (UTI) recurrence.
- The medical device contributes to reducing antibiotic prescriptions.
- It alleviates the disease burden associated with uncomplicated cystitis.
Related Concept Videos
Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
14
A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
14
Urologic Endoscopic Procedure: Cystoscopic Examination
31
Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
31
Urinary Tract Infection I: Introduction
23
Urinary tract infections (UTIs) impact various parts of the urinary system, including the kidneys, ureters, bladder, and urethra. These infections are generally bacterial, with Escherichia coli being the most common causative agent, often originating from the gastrointestinal tract. However, other bacteria, such as Staphylococcus saprophyticus, Klebsiella pneumoniae, and Proteus mirabilis, are also known to cause UTIs. The type, location, and underlying complexity of the UTI guide both...
23
Urinary Tract Infection II: Pathophysiology
18
The pathophysiology of urinary tract infections (UTIs) encompasses several progressive stages, beginning with bacterial colonization and culminating in potential systemic complications if untreated. UTIs are primarily initiated by bacteria, such as Escherichia coli, which often originate from the gastrointestinal tract and migrate to the urinary system through the periurethral area. This migration can occur via several routes, including improper hygiene practices, sexual activity, or...
18
Urine Studies II: Urine Culture and Sensitivity Test
38
A urine culture and sensitivity test is a diagnostic procedure used to identify urinary tract bacterial infections and determine the most effective antibiotics for treatment. This test is generally preferred when a patient shows manifestations of a urinary tract infection, such as frequent or painful urination, cloudy or foul-smelling urine, or lower abdominal pain.Purpose of the TestThe primary goals of a urine culture and sensitivity test are to:Determine the specific bacteria causing the...
38
Imaging Studies VI: Voiding Cystourethrography and Cystography
15
Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...
15


