An interactive computer kiosk module for the treatment of recurrent uncomplicated cystitis in women
An interactive computer kiosk module for the treatment of recurrent uncomplicated cystitis in women
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用于治疗女性复发性单纯性膀胱炎的交互式计算机亭模块
DOI：
10.1111/j.1525-1497.2006.00575.x
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发表时间：
2006
影响因子：
5.7
通讯作者：
R. Gonzales
中科院分区：
文献类型：
--
作者：
Eva M. Agaard;P. Nadler;Josh Adler;J. Maselli;R. Gonzales
目的：验证和实现一个计算机模块，用于管理非复杂性尿路感染（UTI）。参与者：年龄18 - 64岁，既往有尿路感染，有排尿症状，无并发症（合并症、阴道分泌物、背痛、呕吐和发烧/寒战）的女性。测量：计算机模块对照临床诊断和尿液培养进行验证。经过验证后，该模块在紧急护理诊所实施，作为疑似尿路感染妇女的管理选择；计算机指导治疗(CDT)-符合条件的妇女在没有临床医生检查的情况下接受抗生素治疗。评估患者对该模块的满意度和尿路相关投诉的回访。结果：在验证研究中，68名女性中有18名（26%）符合cdt标准。临床医生诊断出17/18符合cdt条件的女性患有无并发症的尿路感染。67%符合cdt条件的女性尿液培养呈阳性。自实施以来，已有162名妇女使用了该模块，35%的妇女接受了CDT。98%（95%置信区间：95%至100%）的人认为该程序易于使用，95%（89%至100%）的人会向朋友/家人推荐该程序。2例（4%）接受cdt治疗的妇女在2周内因尿路相关疾病回访我院。结论：一种计算机模块可以准确地识别出女性培养证实的、简单的尿路感染。患者对该模块非常满意。
OBJECTIVE: To validate and implement a computer module for the management of uncomplicated urinary tract infections (UTI).PARTICIPANTS: Women age 18 to 64 years, with a previous UTI, voiding symptoms, and absence of complicating features (comorbidities, vaginal discharge, back pain, emesis, and fever/chills).MEASUREMENTS: The computer module was validated against clinician diagnosis and urine culture. Following validation, the module was implemented in the urgent care clinic as a management option for women with suspected UTI; computer-directed therapy (CDT)-eligible women received antibiotic treatment without a clinician examination. Patient satisfaction with the module and return visits for UTI-related complaints were assessed.RESULTS: In the validation study, 18 of 68 women (26%) were CDT-eligible. Clinicians diagnosed 17/18 CDT-eligible women with uncomplicated UTI. Sixty-seven percent of CDT-eligible women had a positive urine culture. Since implementation, 162 women have accessed the module, and 35% have received CDT. Ninety-eight percent (95% confidence interval: 95% to 100%) found the program easy to use and 95% (89% to 100%) would recommend it to friends/family. Two (4%) CDT-treated women had a return visit to our institution for a UTI-related illness within 2 weeks.CONCLUSIONS: A computer module accurately identifies women with culture-confirmed, uncomplicated UTIs. Patients are highly satisfied with the module.