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Patient Distress in Women with Recurrent Urinary Tract Infections: How Can Physicians Better Meet Patients Needs?

  • Lower Urinary Tract Symptoms & Voiding Dysfunction (J Sandhu, Section Editor)
  • Published:
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Abstract

Purpose of Review

Recurrent urinary tract infections are a common condition that can impact patients’ quality of life. The purpose of this review is to summarize and analyze the literature regarding the distress that these infections can cause to patients and provide guidance to clinicians on how to improve care of these patients.

Recent Findings

The current literature on patient perspectives in urinary tract infections shows an emotional symptom experience that is not consistent with the typical symptoms expected by clinicians. The infections can impact all aspects of quality of life, including social, emotional, and financial domains.

Summary

Women with recurrent urinary tract infections experience a significant amount of distress. They have a strong desire for validation of their experiences by their physicians. Clinicians can best serve these patients by understanding the true impact of their condition and creating treatment strategies that include shared decision making to meet patients’ goals.

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References

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  1. Foxman B. Epidemiology of urinary tract infections: incidence, morbidity, and economic costs. Dis Mon. 2003;49(2):53–70.

    Article  Google Scholar 

  2. Foxman B, Gillespie B, Koopman J, Zhang L, Palin K, Tallman P, et al. Risk factors for second urinary tract infection among college women. Am J Epidemiol. 2000;151(12):1194–205.

    Article  CAS  Google Scholar 

  3. Foxman B, Brown P. Epidemiology of urinary tract infections: transmission and risk factors, incidence, and costs. Infect Dis Clin N Am. 2003;17(2):227–41.

    Article  Google Scholar 

  4. Ennis SS, Guo H, Raman L, Tambyah PA, Chen SL, Tiong HY. Premenopausal women with recurrent urinary tract infections have lower quality of life. Int J Urol. 2018;25(7):684–9.

    Article  Google Scholar 

  5. Smith AL, Brown J, Wyman JF, Berry A, Newman DK, Stapleton AE. Treatment and prevention of recurrent lower urinary tract infections in women: a rapid review with practice recommendations. J Urol. 2018.

  6. Hooton TM. Clinical practice. Uncomplicated urinary tract infection. N Engl J Med. 2012;366(11):1028–37.

    Article  CAS  Google Scholar 

  7. Malterud K, Baerheim A. Peeing barbed wire. Symptom experiences in women with lower urinary tract infection. Scand J Prim Health Care. 1999;17(1):49–53.

    Article  CAS  Google Scholar 

  8. •• Flower A, Bishop FL, Lewith G. How women manage recurrent urinary tract infections: an analysis of postings on a popular web forum. BMC Fam Pract. 2014;15:162 A web-based analysis that provided qualitative description of the disabling effects of rUTI on women’s lives. Provided views from a diverse group of women that includes symptom descriptions and views on treatment by physicians.

    Article  Google Scholar 

  9. Alraek T, Baerheim A. ‘An empty and happy feeling in the bladder...’: health changes experienced by women after acupuncture for recurrent cystitis. Complement Ther Med. 2001;9(4):219–23.

    Article  CAS  Google Scholar 

  10. Ellis AK, Verma S. Quality of life in women with urinary tract infections: is benign disease a misnomer? J Am Board Fam Pract. 2000;13(6):392–7.

    Article  CAS  Google Scholar 

  11. Wagenlehner F, Wullt B, Ballarini S, Zingg D, Naber KG. Social and economic burden of recurrent urinary tract infections and quality of life: a patient web-based study (GESPRIT). Expert Rev Pharmacoecon Outcomes Res. 2018;18(1):107–17.

    Article  Google Scholar 

  12. • Renard J, Ballarini S, Mascarenhas T, Zahran M, Quimper E, Choucair J, et al. Recurrent lower urinary tract infections have a detrimental effect on patient quality of life: a prospective, observational study. Infect Dis Ther 2014. Demonstrated objective evidence of detrimental effects of rUTIs on quality of life and how this can be improved with effective prophylaxis.

  13. Muller AE, Verhaegh EM, Harbarth S, Mouton JW, Huttner A. Nitrofurantoin's efficacy and safety as prophylaxis for urinary tract infections: a systematic review of the literature and meta-analysis of controlled trials. Clin Microbiol Infect. 2017;23(6):355–62.

    Article  CAS  Google Scholar 

  14. Lee BS, Bhuta T, Simpson JM, Craig JC. Methenamine hippurate for preventing urinary tract infections. Cochrane Database Syst Rev. 2012;10:CD003265.

    PubMed  Google Scholar 

  15. Kranjcec B, Papes D, Altarac S. d-Mannose powder for prophylaxis of recurrent urinary tract infections in women: a randomized clinical trial. World J Urol. 2014;32(1):79–84.

    Article  CAS  Google Scholar 

  16. Jepson R, Craig J, Williams G. Cranberry products and prevention of urinary tract infections. JAMA. 2013;310(13):1395–6.

    Article  CAS  Google Scholar 

  17. Perrotta C, Aznar M, Mejia R, Albert X, Ng CW. Oestrogens for preventing recurrent urinary tract infection in postmenopausal women. Cochrane Database Syst Rev. 2008;2:CD005131.

    Google Scholar 

  18. Flower A, Winters D, Bishop FL, Lewith G. 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. Prim Health Care Res Dev. 2015;16(6):597–606.

    Article  Google Scholar 

  19. Rodriguez LV, Blander DS, Dorey F, Raz S, Zimmern P. Discrepancy in patient and physician perception of patient's quality of life related to urinary symptoms. Urology. 2003;62(1):49–53.

    Article  Google Scholar 

  20. Srikrishna S, Robinson D, Cardozo L, Gonzalez J. Is there a discrepancy between patient and physician quality of life assessment? Neurourol Urodyn. 2009;28(3):179–82.

    Article  Google Scholar 

  21. •• Leydon GM, Turner S, Smith H, Little P, team U. Women's views about management and cause of urinary tract infection: qualitative interview study. BMJ. 2010;340:c279 Qualitative interview study within a randomized controlled trial of delayed versus immediate treatment strategies in acute UTI to evaluate the views on UTI management in women in the different treatment arms.

    Article  CAS  Google Scholar 

  22. McClurg D, Walker K, Pickard R, Hilton P, Ainsworth H, Leonard K, et al. Participant experiences of clean intermittent self-catheterisation, urinary tract infections and antibiotic use on the ANTIC trial - a qualitative study. Int J Nurs Stud. 2018;81:1–7.

    Article  Google Scholar 

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Correspondence to Dena Moskowitz.

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Dena Moskowitz and Una Lee each declare no potential conflicts of interest.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of the Topical Collection on Lower Urinary Tract Symptoms & Voiding Dysfunction

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Moskowitz, D., Lee, U. Patient Distress in Women with Recurrent Urinary Tract Infections: How Can Physicians Better Meet Patients Needs?. Curr Urol Rep 19, 97 (2018). https://doi.org/10.1007/s11934-018-0849-1

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  • DOI: https://doi.org/10.1007/s11934-018-0849-1

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