Introduction: Using Google Trends (GT) data, the trend variations for the most common antibiotics used to treat uncomplicated cystitis were analyzed by time and region since 2004. Methods: GT was used to create a “line-graph” that shows how interest in a topic in certain locations has grown or decreased over time. The relative search volume, which is displayed on a scale of 0–100, was used to index the search values for specific phrases. Nitrofurantoin (NFN), fosfomycin (FOS), trimethoprim (TMP), pivmecillinam (PIV), and cefadroxil are among the antibiotics recommended by the European Association of Urology (EAU) and the American Urological Association for the treatment of uncomplicated cystitis. Using the “global” inquiry category, the data was searched “worldwide” from 1 February 2004 to 31 December 2021. Results: In the regression analysis, all antibiotics exhibited positive trends (p < 0.05). With a steady rise in popularity, NFN is the most popular antibiotic today. Search trend for cefadroxil stayed nearly stable until 2012, the rate of rise in the last 10 years increased, and cefadroxil is the second most popular antibiotic. In the previous 5 years, there was a decline in interest in TMP. In recent years, there was an increase in the trends for FOS and PIV. Conclusion: Clinicians and patients all around the world increasingly use the web to search for antibiotic therapies for uncomplicated cystitis. Antibiotics used to treat uncomplicated cystitis have various trends in different continents throughout the world. The web trends seem to be compatible with daily use.

1.
EAU guidelines on urological infections. Presented at the EAU Annual Congress. Amsterdam, the Netherlands; 2022. Arnhem, the Netherlands: EAU Guidelines Office; 2022. https://uroweb.org/guidelines/urological-infections/summary-of-changes.
2.
Naber
KG
,
Bonkat
G
,
Wagenlehner
FME
.
The EAU and AUA/CUA/SUFU guidelines on recurrent urinary tract infections: what is the difference
.
Eur Urol
.
2020 Nov
78
5
645
6
.
3.
Mulder
M
,
Baan
E
,
Verbon
A
,
Stricker
B
,
Verhamme
K
.
Trends of prescribing antimicrobial drugs for urinary tract infections in primary care in The Netherlands: a population-based cohort study
.
BMJ Open
.
2019
;
9
(
5
):
e027221
.
4.
Galatti
L
,
Sessa
A
,
Mazzaglia
G
,
Pecchioli
S
,
Rossi
A
,
Cricelli
C
.
Antibiotic prescribing for acute and recurrent cystitis in primary care: a 4 year descriptive study
.
J Antimicrob Chemother
.
2006
;
57
(
3
):
551
6
.
5.
Değer
MD
,
Madendere
S
.
Erectile dysfunction treatment with Phosphodiesterase-5 Inhibitors: google trends analysis of last 10 years and COVID-19 pandemic
.
Arch Ital Urol Androl
.
2021
;
93
(
3
):
361
5
.
6.
Madendere
S
,
Değer
MD
,
Aktoz
T
.
Global web trends analysis of minimally invasive urinary stone treatment in the last decade and during the COVID-19 pandemic
.
J Endourol
.
2022 Oct
36
10
1271
6
.
7.
Klein
EY
,
Van Boeckel
TP
,
Martinez
EM
,
Pant
S
,
Gandra
S
,
Levin
SA
.
Global increase and geographic convergence in antibiotic consumption between 2000 and 2015
.
Proc Natl Acad Sci U S A
.
2018 Apr 10
115
15
E3463
70
.
8.
Kusama
Y
,
Ishikane
M
,
Kihara
T
,
Ohmagari
N
.
Epidemiology of antibiotic treatment for uncomplicated cystitis in adults in Japan
.
J Infect Chemother
.
2021
;
27
(
1
):
113
6
.
9.
Li
X
,
Sundquist
K
,
Jansåker
F
.
Fluoroquinolones and other antibiotics redeemed for cystitis-A Swedish nationwide cohort follow-up study (2006–2018)
.
Antibiotics
.
2022
;
11
(
2
):
172
.
10.
Wagenlehner
FME
,
Wullt
B
,
Perletti
G
.
Antimicrobials in urogenital infections
.
Int J Antimicrob Agents
.
2011
38
Suppl l
3
10
.
11.
Wagenlehner
FME
,
Hoyme
U
,
Kaase
M
,
Fünfstück
R
,
Naber
KG
,
Schmiemann
G
.
Uncomplicated urinary tract infections
.
Dtsch Arztebl Int
.
2011
;
108
(
24
):
415
23
.
12.
de Cueto
M
,
Aliaga
L
,
Alós
JI
,
Canut
A
,
Los-Arcos
I
,
Martínez
JA
.
Executive summary of the diagnosis and treatment of urinary tract infection: guidelines of the Spanish society of clinical microbiology and infectious diseases (SEIMC)
.
Enferm Infecc Microbiol Clin
.
2017
;
35
(
5
):
314
20
.
13.
Aguinaga
A
,
Gil-Setas
A
,
Mazón Ramos
A
,
Alvaro
A
,
García-Irure
JJ
,
Navascues
A
.
Uncomplicated urinary tract infections. Antimicrobial susceptibility study in Navarre
.
An Sist Sanit Navar
.
2018
;
41
(
1
):
17
26
.
14.
Huttner
A
,
Verhaegh
EM
,
Harbarth
S
,
Muller
AE
,
Theuretzbacher
U
,
Mouton
JW
.
Nitrofurantoin revisited: a systematic review and meta-analysis of controlled trials
.
J Antimicrob Chemother
.
2015
;
70
(
9
):
2456
64
.
15.
Gupta
K
,
Hooton
TM
,
Roberts
PL
,
Stamm
WE
.
Short-course nitrofurantoin for the treatment of acute uncomplicated cystitis in women
.
Arch Intern Med
.
2007
;
167
(
20
):
2207
12
.
16.
Gupta
K
,
Grigoryan
L
,
Trautner
B
.
Urinary tract infection
.
Ann Intern Med
.
2017
167
7
Itc49
64
.
17.
Ternes
B
,
Wagenlehner
FME
.
Guideline-based treatment of urinary tract infections
.
Urologe A
.
2020
;
59
(
5
):
550
8
.
18.
Mottet
N
,
van den Bergh
RCN
,
Briers
E
,
Van den Broeck
T
,
Cumberbatch
MG
,
De Santis
M
.
EAU-EANM-ESTRO-ESUR-SIOG guidelines on prostate cancer-2020 update. Part 1: screening, diagnosis, and local treatment with curative intent
.
Eur Urol
.
2021
;
79
(
2
):
243
62
.
19.
Vik
I
,
Bollestad
M
,
Grude
N
,
Bærheim
A
,
Damsgaard
E
,
Neumark
T
.
Ibuprofen versus pivmecillinam for uncomplicated urinary tract infection in women-A double-blind, randomized non-inferiority trial
.
PLoS Med
.
2018
;
15
(
5
):
e1002569
.
20.
Hooton
TM
,
Roberts
PL
,
Stapleton
AE
.
Cefpodoxime vs ciprofloxacin for short-course treatment of acute uncomplicated cystitis: a randomized trial
.
Jama
.
2012
;
307
(
6
):
583
9
.
21.
Gaitonde
S
,
Malik
RD
,
Zimmern
PE
.
Financial burden of recurrent urinary tract infections in women: a time-driven activity-based cost analysis
.
Urology
.
2019
;
128
:
47
54
.
22.
Khosla
L
,
Bockelman
D
,
Gong
S
,
Vizgan
G
,
Kabarriti
AE
.
Impact of COVID-19 on online interest in urologic conditions: an analysis of google trends
.
Cureus
.
2022
;
14
(
1
):
e21149
.
23.
Rossignol
L
,
Pelat
C
,
Lambert
B
,
Flahault
A
,
Chartier-Kastler
E
,
Hanslik
T
.
A method to assess seasonality of urinary tract infections based on medication sales and google trends
.
PLoS One
.
2013
;
8
(
10
):
e76020
.
24.
Beck
F
,
Richard
JB
,
Nguyen-Thanh
V
,
Montagni
I
,
Parizot
I
,
Renahy
E
.
Use of the internet as a health information resource among French young adults: results from a nationally representative survey
.
J Med Internet Res
.
2014 May 13
16
5
e128
.
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