{
    "abstract": "Urinary tract infection (UTI) is a common ailment but can develop into sepsis. The outcomes related to UTI may potentially be affected by both patient and clinician management of UTI.\nTo explore the circumstances around a single UTI episode to determine whether there are patient and clinician-related variables that may contribute to differences in management.\nSurvey and clinical audit in 12 general practices in England.\nPatients (\nA significantly higher proportion of females compared with males used self-management measures. Increase in fluid intake was 78% for females aged <65 years and 71% for females aged >65 years compared with 53% for males (\nUTI symptom management by clinicians is suboptimal; the presence or absence of symptoms is often insufficiently recorded in medical records. Additionally, suboptimal adherence to guidelines concerning urinalysis and microbiological investigation is common. Known increased clinical risks for males may be compounded by their more limited knowledge of (self)-managing UTI and their comparatively late presentation.",
    "authors": [
        {
            "affiliation": "Research & Development Department, North Cumbria Integrated Care NHS Foundation Trust, Penrith, UK.",
            "firstname": "Stacey Jayne",
            "initials": "SJ",
            "lastname": "Fisher"
        },
        {
            "affiliation": "Microbiology Department, North Cumbria Integrated Care NHS Foundation Trust, Carlisle, UK.",
            "firstname": "Clive",
            "initials": "C",
            "lastname": "Graham"
        },
        {
            "affiliation": "Banbury Cross Health Centre, Banbury, UK.",
            "firstname": "James",
            "initials": "J",
            "lastname": "Kennard"
        },
        {
            "affiliation": "Research & Development Department, North Cumbria Integrated Care NHS Foundation Trust, Penrith, UK leon.jonker@ncic.nhs.uk.",
            "firstname": "Leon",
            "initials": "L",
            "lastname": "Jonker"
        }
    ],
    "conclusions": "UTI symptom management by clinicians is suboptimal; the presence or absence of symptoms is often insufficiently recorded in medical records. Additionally, suboptimal adherence to guidelines concerning urinalysis and microbiological investigation is common. Known increased clinical risks for males may be compounded by their more limited knowledge of (self)-managing UTI and their comparatively late presentation.",
    "copyrights": "Copyright \u00a9 2023, The Authors.",
    "doi": "10.3399/BJGPO.2022.0191\n10.1016/j.idc.2013.09.003\n10.1186/s12941-018-0278-5\n10.1001/archinte.165.21.2514\n10.3399/bjgp15X686965\n10.3399/bjgp20X708173\n10.1093/jac/dky004\n10.1136/bmjoq-2018-000411\n10.1136/bmj.h6544\n10.1097/SLA.0000000000004078\n10.1016/j.clineuro.2022.107225\n10.1017/ice.2016.171\n10.3399/bjgp17X693641\n10.3390/antibiotics10010012\n10.3399/bjgp20X708125\n10.1016/j.jhin.2019.04.018\n10.1093/jac/dku291\n10.1136/bmj.l525\n10.1370/afm.2609\n10.1136/bmj.c199\n10.1186/s12877-019-1360-3\n10.1136/bmjopen-2013-002700",
    "journal": "BJGP open",
    "keywords": [
        "UTI",
        "antibacterial agents",
        "antibiotics",
        "clinical guideline",
        "health confidence",
        "self-management",
        "urinary tract infections"
    ],
    "methods": "Patients (",
    "publication_date": "2023-07-01",
    "pubmed_id": "37391209\n24484571\n29885657\n16314549\n26412847\n34464041\n32041765\n29514268\n31259277\n26698878\n32649458\n35364371\n27514583\n29158245\n33375566\n31988085\n31042553\n25091508\n30814048\n33685877\n20139214\n31783801\n23585394",
    "results": "A significantly higher proportion of females compared with males used self-management measures. Increase in fluid intake was 78% for females aged <65 years and 71% for females aged >65 years compared with 53% for males (",
    "title": "Management of urinary tract infections in the community: a clinical audit and patient survey.",
    "xml": "<Element 'PubmedArticle' at 0x78850213cf90>"
}