Recurrent urinary tract infection management and prevention techniques among a population-based cohort of women.
Recurrent urinary tract infection management and prevention techniques among a population-based cohort of women.
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基于人群的女性群体中复发性尿路感染的管理和预防技术。
DOI：
10.1002/nau.25281
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发表时间：
2023
影响因子：
2
通讯作者：
Reynolds,WilliamStuart
中科院分区：
文献类型：
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作者：
Gleicher,Stephanie;Sebesta,ElisabethM;Kaufman,MelissaR;Dmochowski,RogerR;Reynolds,WilliamStuart
复发性尿路感染（Recurrent urinary tract infection，鲁蒂）是指在12个月内发生3次或3次以上的尿路感染，给患者带来心理、身体和经济上的负担。许多患有鲁蒂的妇女对护理不满意，并报告在几次感染后才开始采取预防措施。本研究的目的是阐明目前的UTI管理趋势和UTI预防strategies.MethodsA网络为基础的研究被发送到一个国家的成年女性样本参加ResearchMatch.org. Women被招募参加，如果他们有一个自我报告的UTI在过去的12 months.ResultsOf 755科目，近30%报告鲁蒂。在患有鲁蒂的女性中，超过50%的人报告为绝经或绝经后，三分之二的人报告阴道症状。15.8%的鲁蒂女性报告对护理不满意，而无鲁蒂的女性为7.9%。大多数女性会去看他们的初级保健医生进行UTI管理，只有26%的鲁蒂女性会去看泌尿科医生。超过65%的女性增加液体摄入量，从前面到后面擦拭，并在性活动后排尿以预防UTI。显著更多的鲁蒂女性使用经阴道雌激素，蔓越莓提取物和低剂量预防性抗生素。这些干预措施似乎是由urologists.ConclusionMost妇女谁有一个UTI在过去的12个月实施生活方式的改变，以防止未来的感染。大多数女性将PCP用于UTI管理，患有鲁蒂的女性报告对护理不满意的可能性是男性的两倍。尽管泌尿科医生优化医学鲁蒂预防，他们似乎是利用不足。
IntroductionRecurrent urinary tract infection (rUTI), defined as three or more UTIs in 12 months, has psychological, physical, and financial burden. Many women with rUTI are not satisfied with care and report only starting preventative measures after several infections. The goal of this study is to elucidate current UTI management trends and the implementation of UTI prevention strategies.MethodsA web‐based study was sent to a national sample of adult women enrolled in ResearchMatch.org. Women were recruited to participate if they had a self‐reported UTI in the past 12 months.ResultsOf the 755 subjects, nearly 30% reported rUTI. Among women with rUTI, more than 50% reported being peri‐ or postmenopausal, and two‐thirds reported vaginal symptoms. 15.8% of women with rUTI reported dissatisfaction with care versus 7.9% of women without rUTI. Most women see their primary care physician for UTI management and only 26% of women with rUTI follow with a urologist. More than 65% of women increase their fluid intake, wipe from front to back, and urinate after sexual activity to prevent UTIs. Significantly more women with rUTI use transvaginal estrogen, cranberry extract, and low‐dose prophylactic antibiotics. These interventions appear to be driven by urologists.ConclusionMost women who have had a UTI in the last 12 months implement lifestyle changes to prevent future infections. Most women see their PCP for UTI management and women with rUTI are twice as likely to report dissatisfaction with care. Despite urologists optimizing medical rUTI prevention, they appear to be underutilized.