Clinical symptoms predictive of recurrent urinary tract infections.
OBJECTIVE
The purpose of this study was to evaluate clinical predictors that will help diagnose women with recurrent urinary tract infections among women with irritative voiding symptoms.


METHODS
A case control study was performed. Cases were women with the diagnosis of recurrent urinary tract infection and controls were women with irritative voiding symptoms. Symptoms predictive for recurrent urinary tract infection were evaluated.


RESULTS
Report of symptoms following intercourse (OR 12.4, 95% CI 3, 59), prior history of pyelonephritis (OR 7.4, 95% CI 2.1; 29), prompt resolution of symptoms with antibiotics (OR 3.9, 95 % CI 1.4, 11), and absence of nocturia (OR 0.22, 95% CI 0.05, 0.87) are significant predictors for women with recurrent urinary tract infection.


CONCLUSIONS
Among women with irritative voiding symptoms, clinical symptoms can help to identify women with recurrent urinary tract infections at the initial presentation even if urine culture reports are not available.
Gopal
Manish
M
Division of Urogynecology, Department of Obstetrics and Gynecology, University of Pennsylvania School of Medicine, Philadelphia, PA, USA. Manishgopal@yahoo.com
Northington
Gina
G
Arya
Lily
L
D000293:Adolescent; D000328:Adult; D016022:Case-Control Studies; D053159:Dysuria; D005260:Female; D006801:Humans; D011237:Predictive Value of Tests; D012008:Recurrence; D012189:Retrospective Studies; D014552:Urinary Tract Infections / Q000175:diagnosis* / Q000517:prevention & control; D014555:Urination Disorders / Q000175:diagnosis*