Volume : 09, Issue : 09, September – 2022
Title:
25.DIAGNOSIS AND MANAGEMENT OF URINARY TRACT INFECTION IN WOMEN IN PRIMARY CARE SETTINGS, SYSTEMATIC REVIEW
Authors :
Dr. Hanan Mohammed Altawwati , Bayan hadi Alshola , Zainab maki Alzawad , Fatimah Hussain Alhawaj , Lina Dakhil Alsaeidi , Zainab Abdullah Jadher , Ghazal Fareed Jamjoom
Abstract :
Background: One of the most typical presentations in the primary care setting is a suspected UTI. Misdiagnosis of UTI may lead to the use of improper tests and/or needless antibiotics. Unless/until it causes urinary symptoms or fever, or if the woman is pregnant or is going to have a urological operation with mucosal trauma, bacteria in the urine may be typical for that person and they may not need to be treated.
Objectives: To identify the role of family physician in diagnose and manage women with UTI and discuss prevalence of UTI in primary healthcare settings.
Methods: For article selection, the PubMed database and EBSCO Information Services were used. All relevant articles relevant with our topic and other articles were used in our review. Other articles that were not related to this field were excluded. The data was extracted in a specific format that was reviewed by the group members.
Conclusion: UTI is a very common compliant among women in primary health care centers. General practitioners and family physicians should be aware and updated of the diagnostic criteria and management approaches for these cases. Consultation time burdens, along with late symptoms are a contest for even the most qualified of GPs. Also, GPs should comprehend that management in women’s is dependent on individual predilections for particular treatment modalities.
Cite This Article:
Please cite this article in Hanan Mohammed Altawwati et al Diagnosis And Management Of Urinary Tract Infection In Women In Primary Care Settings, Systematic Review., Indo Am. J. P. Sci, 2022; 09(9).
Number of Downloads : 10
References:
1. Czajkowski, Krzysztof et al. “Urinary tract infection in women.” Przeglad menopauzalny = Menopause review vol. 20,1 (2021): 40-47. doi:10.5114/pm.2021.105382
2. Schappert SM, Rechtsteiner EA. Ambulatory medical care utilization estimates for 2006. Natl Health Stat Report. 2008;8:1–29.
3. Car J. Urinary tract infections in women: diagnosis and management in primary care BMJ 2006; 332 :94 doi:10.1136/bmj.332.7533.94
4. Chu, Christine M, and Jerry L Lowder. “Diagnosis and treatment of urinary tract infections across age groups.” American journal of obstetrics and gynecology vol. 219,1 (2018): 40-51. doi:10.1016/j.ajog.2017.12.231
5. Bader, Mazen S et al. “An update on the management of urinary tract infections in the era of antimicrobial resistance.” Postgraduate medicine vol. 129,2 (2017): 242-258. doi:10.1080/00325481.2017.1246055
6. Christiaens T, De Backer D, Burgers J, Baerheim A. Guidelines, evidence, and cultural factors. Scand J Primary Health Care 2004;22:141-5.
7. Scottish Intercollegiate Guidelines Network. Management of suspectedbacterial urinary tract infection in adults. Edinburgh; 2012. https://www.sign.ac.uk/patient-and-public-involvement/patient-publications/managing-bacterial-urinary-tract-infections-in-adults/. Accessed 30 Aug 2020
8. Alsulami et al. Role of Family Physician in Diagnosis and Management of Urinary Tract infection in PHC. Archives of Pharmacy Practice ¦ Volume 10 ¦ Issue 4 ¦ October-December 20191
9. Flower, A., Winters, D., Bishop, F., & Lewith, G. (2015). The challenges of treating women with recurrent urinary tract infections in primary care: A qualitative study of GPs’ experiences of conventional management and their attitudes towards possible herbal options. Primary Health Care Research & Development, 16(6), 597-606. doi:10.1017/S1463423615000201
10. Cooper, Emily et al. “Diagnosis and Management of UTI in Primary Care Settings-A Qualitative Study to Inform a Diagnostic Quick Reference Tool for Women Under 65 Years.” Antibiotics (Basel, Switzerland) vol. 9,9 581. 7 Sep. 2020, doi:10.3390/antibiotics9090581
11. Little, Paul et al. “Developing clinical rules to predict urinary tract infection in primary care settings: sensitivity and specificity of near patient tests (dipsticks) and clinical scores.” The British journal of general practice : the journal of the Royal College of General Practitioners vol. 56,529 (2006): 606-12.
12. Gágyor, Ildikó et al. “Management of urinary tract infections: what do doctors recommend and patients do? An observational study in German primary care.” BMC infectious diseases vol. 20,1 813. 9 Nov. 2020, doi:10.1186/s12879-020-05377-w
13. *Little, Paul et al. “Validating the prediction of lower urinary tract infection in primary care: sensitivity and specificity of urinary dipsticks and clinical scores in women.” The British journal of general practice : the journal of the Royal College of General Practitioners vol. 60,576 (2010): 495-500. doi:10.3399/bjgp10X514747
14. Butler, Christopher C et al. “Variations in presentation, management, and patient outcomes of urinary tract infection: a prospective four-country primary care observational cohort study.” The British journal of general practice : the journal of the Royal College of General Practitioners vol. 67,665 (2017): e830-e841. doi:10.3399/bjgp17X693641
15. Butler, Chris C., et al. “Incidence, severity, help seeking, and management of uncomplicated urinary tract infection: a population-based survey.” British Journal of General Practice 65.639 (2015): e702-e707.
16. Kornfält Isberg, Helena, et al. “Uncomplicated urinary tract infection in primary health care: presentation and clinical outcome.” Infectious Diseases 53.2 (2021): 94-101.
17. Lecky, Donna M et al. “Optimising management of UTIs in primary care: a qualitative study of patient and GP perspectives to inform the development of an evidence-based, shared decision-making resource.” The British journal of general practice : the journal of the Royal College of General Practitioners vol. 70,694 e330-e338. 30 Apr. 2020, doi:10.3399/bjgp20X708173
18. McNulty, C A M et al. “Clinical relevance of laboratory-reported antibiotic resistance in acute uncomplicated urinary tract infection in primary care.” The Journal of antimicrobial chemotherapy vol. 58,5 (2006): 1000-8. doi:10.1093/jac/dkl368