Evaluation of the diagnostic accuracy of lower urinary tract symptoms (LUTS) in uncomplicated UTI in Pakistani women.

IF 0.8 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Journal of the Pakistan Medical Association Pub Date : 2024-10-01 DOI:10.47391/JPMA.11030

Waqar Azim Niaz, Haleema Yasmeen, Saadia Shamsher

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引用次数: 0

Abstract

Objective: To evaluate the diagnostic accuracy of lower urinary tract symptoms in uncomplicated urinary tract infection in women.

Methods: The cross-sectional study was conducted from September 2020 to December 2021 after approval from the ethics review board of Jinnah Postgraduate Medical Centre, Karachi, and comprised data of women aged at least 16 years from 8 institutions across Pakistan. Data included menstruation status, symptoms, urinalysis and organisms found in urine samples. The association of urinalysis variables with symptoms among culture-positive patients was measured to assess the certainty of positive diagnosis. Data was analysed using SPSS 23.

Results: Of the 457 women with mean age 37.87±13.9 years, 182(39.8%) had a positive urine culture. Dysuria was the most significant symptom 120(65.9%), followed by daytime frequency 114(62.6%) amongst culture-positive patients. On urinalysis, 139(76.3%) had white blood cells, and 66(36.2%) had haematuria. Dysuria along with the presence of leucocyte esterase had the highest diagnostic utility (p=0.002). Urgency along with haematuria was strongly predictive of urinary tract infection (p=0.058).

Conclusion: The diagnosis of uncomplicated urinary tract infection in women could be reliably made based on a combination of symptoms along with urine analysis without urine culture.

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评估巴基斯坦妇女下尿路症状（LUTS）对无并发症尿毒症的诊断准确性。

目的评估下尿路症状对女性无并发症尿路感染的诊断准确性：这项横断面研究于 2020 年 9 月至 2021 年 12 月进行，经卡拉奇真纳研究生医学中心伦理审查委员会批准，研究对象为巴基斯坦全国 8 家机构中年龄至少为 16 岁的女性。数据包括月经状况、症状、尿液分析和尿样中发现的微生物。对尿液分析变量与培养阳性患者症状之间的关联进行了测量，以评估阳性诊断的确定性。数据使用 SPSS 23 进行分析：在平均年龄为 37.87±13.9 岁的 457 名妇女中，182 人（39.8%）的尿培养呈阳性。在尿培养呈阳性的患者中，排尿困难是最主要的症状，占 120 人（65.9%），其次是日尿频，占 114 人（62.6%）。在尿液分析中，139 人（76.3%）有白细胞，66 人（36.2%）有血尿。尿失禁和白细胞酯酶的诊断效用最高（P=0.002）。尿急和血尿对尿路感染有很强的预测性（p=0.058）：结论：根据综合症状和尿液分析（无尿培养），可以可靠地诊断出女性非复杂性尿路感染。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of the Pakistan Medical Association Medicine-General Medicine

CiteScore

1.10

自引率

11.10%

发文量

983

审稿时长

3-6 weeks

期刊介绍： Primarily being a medical journal, JPMA publishes scholarly research focusing on the various fields in the areas of health and medical education. It publishes original research describing recent advances in health particularly clinical studies, clinical trials, assessments of pathogens of diagnostic importance, medical genetics and epidemiological studies. Review articles highlighting importance of various issues in the domain of public health, drug research and medical education are also accepted. As a leading journal of South Asia, JPMA remains cognizant of the recent advances in the rapidly growing fields of biomedical sciences, it invites and encourages scholars to write short reviews and invited editorials on the emerging issues. We particularly aim to promote health standards of developing countries by encouraging manuscript submissions on issues affecting the public health and health delivery services.