Urinary tract infection in primary health care in northern Sweden. II. Clinical presentation.
In a multipractice prevalence study of uncomplicated urinary tract infection (UTI) in primary health care (PHC), with 355 episodes in 302 individuals during one month, 93% of the episodes occurred in females and Escherichia coli was the dominating causative organism (77%). Most episodes of UTI (84%) were acute and associated with lower (75%), upper (5%) or uncharacteristic symptoms (4%) whereas 16% represented bacteriuria discovered by posttreatment controls. Urgency (77%) and dysuria (70%) were the most common symptoms. Loin pain was highly associated with upper UTI (88%) but was reported also in 23% of episodes of lower UTI. Patient's delay differed between PHC centres and patient categories and was surprisingly long, four weeks in nine per cent and on average 8.4 days.
Ferry
S
S
Department of General Practice, University of Umeå, Sweden.
Burman
L G
LG
Mattsson
B
B
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D004927:Escherichia coli Infections / Q000453:epidemiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011320:Primary Health Care; D012737:Sex Factors; D013548:Sweden; D013997:Time Factors; D014552:Urinary Tract Infections / Q000175:diagnosis / Q000453:epidemiology* / Q000382:microbiology