FEATURES OF THE COURSE OF URINARY TRACT INFECTIONS IN WOMEN OF CHILDBEARING AGE ON AN OUTPATIENT BASIS
Introduction. Urinary tract infections (UTI) remain one of the most important problems of modern medicine. A third of women diagnosed with UTI are under the age of 24, and half develop at least one episode by the age of 35. 70 % of women will suffer from UTI during their lifetime, and of these, 30% will have recurrent UTI.
Aim: to analyze the features of the clinical course of urinary tract infections in women of fertile age at the outpatient stage.
Materials and methods. Study design: cross-sectional non-randomized open retrospective. The study included 167 women of fertile age with a diagnosis of acute uncomplicated UTI, observed in polyclinics #1, 4, 5 in Karaganda in the period January 2018-October 2019. the research Method is analytical, registration cards were developed, which included data from medical records about the nosological form (cystitis, pyelonephritis, urethritis), anamnestic data, data on the results of clinical diagnostic methods. The inclusion criteria were female patients between 18 and 49 years of age with the above diseases. The exclusion criteria were male gender, age under 18 and over 49 years, pregnancy, asymptomatic bacteriuria, and patients with sexually transmitted infections.
The processing was based on absolute data, part of the data presented was presented in percentage (relative) terms for better perception. Statistical and mathematical data processing was carried out using the Excel application package. The following were determined: M - arithmetic mean value, the value dividing the distribution in half - Me - the median, the most common value of Mo - mode.
Results. An indicator of the incidence of UTI is higher among sexually active, unmarried patients and is dominated by acute cystitis. And the incidence of acute pyelonephritis is slightly higher in married patients - 42%. Acute cystitis was the leader among nosological forms-48%. In 26% of cases, the diagnosis was made on the basis of dysuric disorders, an increase in temperature to 37.6-37.9°C. was found only in 30 %. There were changes in the General blood test – leukocytosis, accelerated ESR) and the General urine test (leukocyturia, bacteriuria) in 98%. Only in 30% of cases, a bacteriological study of urine was performed to determine the etiological factor.
Conclusions. Urinary tract infections were most common in sexually active, unmarried women: acute cystitis took the lead, and in most cases it occurred after intercourse and was clinically manifested by dysuria. Sexually active, married women were more likely to suffer from acute pyelonephritis, which in almost all cases was accompanied by subfebrile temperature, leukocytosis, leukocyturia and bacteriuria
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Beisenayeva A.R., Muldaeva G.M., Abeuova B.A., Beisenayeva A.R., Arystan L.I., Haydargalieva L.S. Features of the course of urinary tract infections in women of childbearing age on an outpatient basis // Nauka i Zdravookhranenie [Science & Healthcare]. 2020, (Vol.22) 2, pp. 100-108. doi:10.34689/SH.2020.22.2.012Related publications:
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