Implications for practice
UTIs
UTI
The study could show that the multifaceted intervention works and we assume that all components can be easily implemented in countries where the level of digitalisation allows an automated data extraction and feedback is possible. In Germany, implementing of the materials is possible for example within the continuous postgraduate medical education or work in quality circles. We do not expect relevant barriers in implementing resistance data but they have to be collected and presented at regional level because they are affected by different antibiotic recommendations or policies.After our study showed high resistance rates in women with recurrent UTIs, the current update of the German guidelines for the treatment of uncomplicated UTIs, which has not yet been published, will recommend against trimethoprim in women with recurrent UTI.