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Cystitis: symptomatology in women with suspected uncomplicated urinary tract infection

Stefan Heytens (UGent), An De Sutter (UGent), David De Backer (UGent), Gerda Verschraegen (UGent) and Thierry Christiaens (UGent)
(2011) JOURNAL OF WOMENS HEALTH. 20(7). p.1117-1121
Author
Organization
Abstract
Background: Although cystitis in women is very common in general practice, its evolution in symptoms has not been clearly studied. Qualitative research has pointed to other than the classic symptomatology. Methods: This was a prospective observational study of the symptomatology at presentation and the evolution of the symptoms in treated women with suspected uncomplicated urinary tract infection (UTI). Women consulting their general practitioner (GP) for dysuria, urgency, or frequency produced a urine sample (for bacteriologic processing) and kept a diary until the end of the symptoms. Exclusion criteria included complaints >1 week, fever, vaginal discharge, and known pathology. Results: Of the 300 asked to participate, 148 (49%) returned the diary. Although none of the patients developed acute pyelonephritis, a substantial number of the women had such complaints as feeling feverish (33% in culture-positive group, 38% in culture-negative group), back pains (44% vs. 56%), and feeling weak and tired (71% vs. 65%). Differences between the culture-positive and culture-negative groups were not statistically significant except for the duration of symptoms, which was shorter in the culture-positive group (4 vs. 6 days). More severe symptoms at inclusion were correlated with a longer duration of these symptoms. Conclusions: The spectrum of complaints in women with suspected uncomplicated UTI is broad and comprises a number of symptoms usually associated with an upper UTI. The occurrence of these symptoms should not automatically prompt GPs to prescribe broad-spectrum antibiotics. Moreover, the duration of symptoms exceeding the recommended duration of antibiotic therapy does not indicate therapy failure and, thus, the need for changing antibiotic therapy.
Keywords
PLACEBO, NATURAL COURSE

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Chicago
Heytens, Stefan, An De Sutter, David De Backer, Gerda Verschraegen, and Thierry Christiaens. 2011. “Cystitis: Symptomatology in Women with Suspected Uncomplicated Urinary Tract Infection.” Journal of Womens Health 20 (7): 1117–1121.
APA
Heytens, Stefan, De Sutter, A., De Backer, D., Verschraegen, G., & Christiaens, T. (2011). Cystitis: symptomatology in women with suspected uncomplicated urinary tract infection. JOURNAL OF WOMENS HEALTH, 20(7), 1117–1121.
Vancouver
1.
Heytens S, De Sutter A, De Backer D, Verschraegen G, Christiaens T. Cystitis: symptomatology in women with suspected uncomplicated urinary tract infection. JOURNAL OF WOMENS HEALTH. 2011;20(7):1117–21.
MLA
Heytens, Stefan, An De Sutter, David De Backer, et al. “Cystitis: Symptomatology in Women with Suspected Uncomplicated Urinary Tract Infection.” JOURNAL OF WOMENS HEALTH 20.7 (2011): 1117–1121. Print.
@article{1861665,
  abstract     = {Background: Although cystitis in women is very common in general practice, its evolution in symptoms has not been clearly studied. Qualitative research has pointed to other than the classic symptomatology. Methods: This was a prospective observational study of the symptomatology at presentation and the evolution of the symptoms in treated women with suspected uncomplicated urinary tract infection (UTI). Women consulting their general practitioner (GP) for dysuria, urgency, or frequency produced a urine sample (for bacteriologic processing) and kept a diary until the end of the symptoms. Exclusion criteria included complaints {\textrangle}1 week, fever, vaginal discharge, and known pathology. Results: Of the 300 asked to participate, 148 (49\%) returned the diary. Although none of the patients developed acute pyelonephritis, a substantial number of the women had such complaints as feeling feverish (33\% in culture-positive group, 38\% in culture-negative group), back pains (44\% vs. 56\%), and feeling weak and tired (71\% vs. 65\%). Differences between the culture-positive and culture-negative groups were not statistically significant except for the duration of symptoms, which was shorter in the culture-positive group (4 vs. 6 days). More severe symptoms at inclusion were correlated with a longer duration of these symptoms. Conclusions: The spectrum of complaints in women with suspected uncomplicated UTI is broad and comprises a number of symptoms usually associated with an upper UTI. The occurrence of these symptoms should not automatically prompt GPs to prescribe broad-spectrum antibiotics. Moreover, the duration of symptoms exceeding the recommended duration of antibiotic therapy does not indicate therapy failure and, thus, the need for changing antibiotic therapy.},
  author       = {Heytens, Stefan and De Sutter, An and De Backer, David and Verschraegen, Gerda and Christiaens, Thierry},
  issn         = {1540-9996},
  journal      = {JOURNAL OF WOMENS HEALTH},
  keyword      = {PLACEBO,NATURAL COURSE},
  language     = {eng},
  number       = {7},
  pages        = {1117--1121},
  title        = {Cystitis: symptomatology in women with suspected uncomplicated urinary tract infection},
  url          = {http://dx.doi.org/10.1089/jwh.2010.2302},
  volume       = {20},
  year         = {2011},
}

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