Health guidelines to prevent recurrence of urinary tract infection among diabetic patients

Background Urinary tract infection (UTI), the most common bacterial infections, affects humans throughout their life span. The more complicated UTI and the recurrent nature increase the risk of hospitalization by two-folds leading to economic stress on the patient. There is also an associated increase in morbidity and mortality. Aims The aim of the study was to evaluate the effect of health guidelines on prevention and recurrence of UTI among diabetic patients. Sample The sample was a purposive one, which composed of 186 diabetic patients of both sexes. It included control and study groups of 93 patients each, with specific criteria. Design A quasi-experimental design was used to conduct the study. Setting This study was carried out in the urology outpatient clinic at the National Diabetic Institute, affiliated to Cairo University Hospitals. Tools Two tools were used for data collection: (a) an interviewing questionnaire for the diabetic patients concerning sociodemographic characteristics and medical-related data and (b) assessment tool of patient’s knowledge regarding preventive measure and care of UTI. Results The study showed that after the application of health guidelines, and follow-up for 1 year, the recurrence of UTI was seen in less than one-tenth of the study group compared with nearly one-third of the control group. Conclusion The results revealed a significant effect of health guidelines on prevention of recurrence of UTI among diabetic patients. Recommendations The findings of this study lead us to recommend conducting educational programs for the diabetic patient in the outpatient clinic to raise their awareness related to the preventive measures and care of UTI and design a simple illustrated booklet in Arabic language for them.