An interactive computer kiosk module for the treatment of recurrent uncomplicated cystitis in women.
OBJECTIVE
To validate and implement a computer module for the management of uncomplicated urinary tract infections (UTI).


METHODS
Women age 18 to 64 years, with a previous UTI, voiding symptoms, and absence of complicating features (comorbidities, vaginal discharge, back pain, emesis, and fever/chills).


METHODS
The computer module was validated against clinician diagnosis and urine culture. Following validation, the module was implemented in the urgent care clinic as a management option for women with suspected UTI; computer-directed therapy (CDT)-eligible women received antibiotic treatment without a clinician examination. Patient satisfaction with the module and return visits for UTI-related complaints were assessed.


RESULTS
In the validation study, 18 of 68 women (26%) were CDT-eligible. Clinicians diagnosed 17/18 CDT-eligible women with uncomplicated UTI. Sixty-seven percent of CDT-eligible women had a positive urine culture. Since implementation, 162 women have accessed the module, and 35% have received CDT. Ninety-eight percent (95% confidence interval: 95% to 100%) found the program easy to use and 95% (89% to 100%) would recommend it to friends/family. Two (4%) CDT-treated women had a return visit to our institution for a UTI-related illness within 2 weeks.


CONCLUSIONS
A computer module accurately identifies women with culture-confirmed, uncomplicated UTIs. Patients are highly satisfied with the module.
Aagaard
Eva M
EM
Division of General Internal Medicine, Department of Medicine, University of California, San Francisco, CA, USA. Eva.Aagaard@ucsf.edu
Nadler
Paul
P
Adler
Joshua
J
Maselli
Judith
J
Gonzales
Ralph
R
D000293:Adolescent; D000328:Adult; D000892:Anti-Infective Agents, Urinary / Q000627:therapeutic use; D003556:Cystitis / Q000175:diagnosis* / Q000188:drug therapy* / Q000517:prevention & control; D003936:Diagnosis, Computer-Assisted / Q000379:methods* / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D008875:Middle Aged; D010817:Physician-Patient Relations; D055502:Secondary Prevention
D000892:Anti-Infective Agents, Urinary