scholarly journals Intermittent catheter users’ symptom identification, description and management of urinary tract infection: a qualitative study

BMJ Open ◽  
2017 ◽  
Vol 7 (9) ◽  
pp. e016453 ◽  
Author(s):  
Ikumi Okamoto ◽  
Jacqui Prieto ◽  
Miriam Avery ◽  
Katherine Moore ◽  
Mandy Fader ◽  
...  
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Qualitative Study ◽  
Management Strategies ◽  
Signs And Symptoms ◽  
Personal Hygiene ◽  
Structured Interviews ◽  
Self Medication ◽  
Convenience Sample

ObjectivesTo elucidate the views of intermittent catheter (IC) users regarding urinary tract infection (UTI) symptom presentation, terminology for describing signs and symptoms, the cause of UTI and management strategies.DesignQualitative study with semi-structured interviews. The transcribed text was analysed thematically.Setting12 general practitioner (GP) surgeries in Hampshire and Dorset, UK.ParticipantsA convenience sample of 30 IC users, aged over 18, using IC for at least 3 months who had at least one self-reported UTI since starting IC.ResultsParticipants reported a variety of signs and symptoms, such as urine cloudiness and smell, as indicators of UTI. The terms used often differed from those in the modified National Institute on Disability and Rehabilitation Research (NIDRR) symptom set. IC users had difficulty distinguishing possible UTI symptoms from those of their comorbidities. They expressed uncertainty about the cause of UTI, often attributing it to poor hygiene and lifestyle behaviours. Whereas some viewed UTI as an expected consequence of IC use that could be self-managed, others felt more concerned and were more reliant on their GP for support. A range of management strategies was described, including drinking more fluids, increased attention to personal hygiene and self-medicating with antibiotics.ConclusionsThere is uncertainty among IC users about UTI signs and symptoms and when to seek help. Individual accounts of UTI fitted generally within the modified NIDRR descriptors but adopted less technical and more ‘lay’ language. IC users’ descriptions of UTI signs and symptoms can lack precision, owing partly to the presence of underlying health conditions. This, together with differing levels of concern about the need to seek help and self-medication with antibiotics, presents challenges for the GP. This study provides the basis for developing a self-help tool which may aid identification of UTI and enhance communication with healthcare professionals.

scholarly journals Clinical, Epidemiological and Bacteriological Profile of Culture Positive Urinary Tract Infections in Febrile Children – A Cross Sectional Study

2021 ◽  
Vol 8 (10) ◽  
pp. 522-526
Author(s):  
Bhavani Shankar Rokkam ◽  
Chowdary Babu Menni ◽  
Ramu Pedada ◽  
Deepak Kumar Alikana
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Urinary Tract Infections ◽  
Urine Culture ◽  
Signs And Symptoms ◽  
Cross Sectional ◽  
Bacteriological Profile ◽  
Tract Infections ◽  
Culture Positive

BACKGROUND Urinary tract infections (UTI) constitute a common cause of morbidity in infants and children. When associated with abnormalities of urinary tract, they may lead to long-term complications including renal scarring, loss of function and hypertension. Most urinary tract infections remain undiagnosed if investigations are not routinely performed to detect them. Prompt detection and treatment of urinary tract infections and any complicating factors are important. The objective of the study is to know the clinical, epidemiological and bacteriological profile (i.e. clinical signs and symptoms, age, sex, family history, associated urinary tract abnormalities, & causative organisms) of urinary tract infections in febrile children with culture positive urinary tract infection. METHODS This descriptive, cross sectional observational study was conducted at outpatient clinics of our “child health clinics” between May 2016 and April 2017 (one year). All children aged 0 to 12 years with culture positive urinary tract infections were included in this study to evaluate the clinical, epidemiological and bacteriological profile. RESULTS A total of 69 children with culture positive urinary tract infections were included in this study. Out of 69 children included in this study, 36 (52.2 %) were females and 33 (47.8 %) were males. Overall female preponderance was seen and the M: F ratio was 0.9:1. But during first year of life in our study group we had more boys (10, 14.49 %) affected with urinary tract infection than girls. 49.3 % of urinary tract infections in the present study belonged to lower socio-economic status. Most common organism causing urinary tract infection in our group was E. coli (56.5 %). Fever (100 %), anorexia or refusal of feeds (52.2 %), dysuria (46.4 %), vomiting (46.4 %) and abdominal pain (39.1 %) were the predominant clinical manifestations observed in our study. CONCLUSIONS Urinary tract infection is a common medical problem in children and it should be considered as a potential cause of fever in children. As febrile children with urinary tract infection usually present with non-specific signs and symptoms, urine culture should be considered as a part of diagnostic evaluation. KEYWORDS Urinary Tract Infections (UTI), Febrile Children, Bacteriological Profile, Urine Culture

scholarly journals Supporting patients with long-term catheterisation to reduce risk of catheter-associated urinary tract infection

2019 ◽  
Vol 28 (9) ◽  
pp. S4-S17 ◽  
Author(s):  
Anna Waskiewicz ◽  
Obrey Alexis ◽  
Deborah Cross
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Fluid Intake ◽  
Adult Population ◽  
Personal Hygiene ◽  
Reduce Risk ◽  
The Uk

More than 90 000 of the UK adult population are estimated to have a urinary catheter, with 24% likely to develop symptoms of catheter-associated urinary tract infection (CAUTI). The consequences of having a CAUTI are reduced quality of life, risk of hospitalisation and increased mortality. The authors undertook a literature review of primary research studies to identify how nurses could support patients to maintain effective catheter care to reduce the risk of CAUTI. Four themes emerged: education, knowledge, empowerment and communication. The authors therefore conclude that consistent knowledge, clear communication and treating patients as partners in the decision-making process can help build trust and allow empower patients. This will enable patients to make safe and healthy decisions about their catheter, particularly with regard to personal hygiene and optimal fluid intake, to reducing the risk of CAUTI.

Effect of Naturopathic modalities in the management of recurrent Urinary Tract Infection

2016 ◽  
Vol 1 (3) ◽  
Author(s):  
Monisha M S ◽  
P B Najuma ◽  
Sheela .
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Recurrent Urinary Tract Infection ◽  
Treatment Protocol ◽  
Signs And Symptoms ◽  
Clinical History ◽  
Design Data ◽  
Recurrent Uti ◽  
Before And After

Now a days recurrent UTI is on common infection among the people, more common in women, particularly in child bearing age. The current research aims at providing a cost effective, long standing treatment protocol for the management of recurrent UTI and also for minimizing the recurrence of symptoms for a longer duration.. The objective of the study is to assess the effect of naturopathic modalities in the signs, symptoms and microscopical features of recurrent urinary tract infection. The study was a before and after Quasi – experimental or Non- randomized design. Data from an individual case sheet Proforma specifying demographical data, general history, clinical history related to urinary tract infection, physical examinations, laboratory investigation, data related with treatment and its response were collected. A consultation and examination was performed to grade the signs and symptoms. Grading was done before and after treatment. Routine blood investigation including erythrocyte sedimentation rate (ESR) and data related to presence of pus cells in urine were also collected. The naturopathic modalities including hot hip bath, abdominal hot compress, juice therapy and diet control is found to be therapeutically very effective in reducing the symptoms of urinary tract infection. Juice therapy used in the study has diuretic and anti-inflammatory properties and provide good results.

MANAGEMENT OF URINARY TRACT INFECTION – AN AYURVEDA PERSPECTIVE

2021 ◽  
pp. 1-2
Author(s):  
Shetti U. M. ◽  
Nandigoudar S.S. ◽  
Kalanghot P. S.
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Urine Examination ◽  
Group A ◽  
Clinical Signs And Symptoms ◽  
Group B ◽  
Tract Infections

Urinary tract infections are the second most widespread infection and are elaborated in Ayurveda classical texts. The aim of the study is to compare the effect of the two well recognised and practised Ayurveda preparations in the treatment of urinary tract infection. 34 patients with proven UTI complaints in the age group of 20 to 60 years were randomly selected from out-patient and in-patient departments as per randomization chart and were divided into Group A and group B. Respectively in group A and group B, patients were advised 15 mL of Ardhabilwa kashaya and Brihatyadi kashaya before food thrice daily with equal quantity of water. After seven days follow up, assessment was done based on the clinical signs and symptoms. Urine examination at base th th line, 7 and at 15 day was performed.Study proved both drugs were clinically efcacious and statistically signicant in the management of urinary tract infection.

Undiscovered Urinary Tract Infections

PEDIATRICS ◽  
1967 ◽  
Vol 39 (6) ◽  
pp. 946-947
Author(s):  
MELVYN H. WOLK
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Urinary Tract Infections ◽  
Signs And Symptoms ◽  
Infants And Children ◽  
Tract Infections ◽  
In Infants And Children

The occurrence of urinary tract infections in children has become an increasing problem. Pediatricians, especially those experiencing the "unhappy pediatric syndrome," should delight in investigating the manifold signs and symptoms with which these children may present. We have been taught that urologic symptoms, such as dysuria and frequency, may indicate an underlying urinary tract infection. However we must look further, for signs rather than symptoms in infants and children, for they may not be the best historians.

scholarly journals Urinary Tract Infection in Children: An Update

2012 ◽  
Vol 36 (2) ◽  
pp. 90-97 ◽  
Author(s):  
Kamrul Laila ◽  
Eliza Roy ◽  
Md Habibur Rahman ◽  
Ranjit Ranjan Roy
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Management Strategies ◽  
Single Species ◽  
Common Disease ◽  
Urinary Tract Abnormality ◽  
Number Of Children

Background: A large number of children with Urinary Tract Infection (UTI) are seen in the community by general practitioners , but there is frequently delay in treatment and not all are referred for further investigations. There is evidence that many cases are misdiagnosed. It is important to optimize diagnostic and management strategies. Result: UTI is an important cause of acute illness, it may be a marker of underlying urinary tract abnormality. Bacteria causes the large majority of UTI in children- Escherichia coli is the most common (90%) bacterial cause. Urine culture & sensitivity is the gold standard for the diagnosis and mandatory for confirmation of UTI. On culture, a colony count of more than 105/ml organisms of a single species is considered confirmatory of UTI. But there is a strong recommendation that , presence of both pyuria and at least 50,000 Colony Forming Unit (CFU) / ml of a single uropathogen in an appropriately collected specimen makes the diagnosis . There is a recommended imaging schedule in childhood UTI to detect anatomical abnormality. Management depends on type of infection. There is no role of prophylactic antibiotics to prevent febrile recurrent UTI without VUR. Conclusion: UTI is a very common disease and may be associated with renal abnormalities and long term squeale. There is debate about best investigation and management strategies. The greatest potential for prevention of renal damage lies in increased awareness, better diagnosis and management of young children with UTI in primary healthcare. DOI: http://dx.doi.org/10.3329/bjch.v36i2.13085 Bangladesh J Child Health 2012; Vol 36 (2): 90-97

Risk factors for urinary tract infection in pediatric patients

2017 ◽  
Vol 5 (1) ◽  
pp. 184 ◽  
Author(s):  
Kavitha J. ◽  
M. A. Aravind ◽  
Ganesh Jayachandran ◽  
Sathiya Priya
Keyword(s):  
Risk Factors ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Tertiary Care ◽  
Recurrent Infection ◽  
Signs And Symptoms ◽  
Tertiary Care Centre ◽  
Asymptomatic Children ◽  
Study Population

Background: Urinary tract infection (UTI) is one of the common infections occurring in children causing significant morbidity and mortality. The knowledge about the risk factors helps in the management as well as preventing the recurrence of urinary tract infection. Hence this study aims to assess the various risk factors and profile of UTI.Methods:In this prospective case control study conducted in tertiary care centre between July 2011 to August 2012, children with signs and symptoms suggestive of urinary tract infection and urine culture positive for UTI were included. Age and sex matched asymptomatic children were taken as control.  Preformed questionnaire was given to each patient and the results were analysed.Results: Among the 214 cases studied, 111 boys were not circumcised constituting 86.7%. Whereas the other risk factors like recent hospitalisation, recent catheterisation, common toilet usage, cleaning perineum from back to front, constipation, usage of tight underclothing, diaper usage, worm infestation, neurological abnormality, voluntary withholding of urine, reduced water intake constitute 9.3%, 0.5%, 19.6%, 17.4%, 18.2%, 0.9%, 7.9%, 26.2%, 3.7%, 33.6% and 34.6% respectively.Conclusions: Recurrent infection was most often due to unresolved bacteriuria or persistent bacteriuria than reinfection. Signs like supra pubic tenderness and hypertension are very rare. Common organisms causing urinary tract infection in our study population are E. coli followed by Klebsiella, Proteus and Pseudomonas. The risk factors of UTI depend on socioeconomic status and cultural habits.

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