L-603. Knowledge about Urinary Tract Infections and Prevention in Women with Recurrent Urinary Tract Infections
Session: Poster Session: Advances in Community-Acquired Urinary Tract Infection
Saturday, October 25, 2008: 12:00 AM
Room: Hall C
Background: Urinary tract infections (UTIs) are common in women and do often recur. UTI education has been shown to help women with recurrences to effective manage their disease. However, there are no data about their UTI knowledge. Methods: To assess the knowledge about pathogenesis and prevention of UTIs in women with recurrent UTIs, we sent a UTI knowledge questionnaire to participants of two randomized multicenter trials (n=468) about the use of non-antibiotic versus antibiotic prophylaxis for recurrent UTIs. The ten questions concerned five basic themes: (1) cause of UTIs, (2) female pelvic anatomy, (3) prevalence of UTIs, (4) preventive practices, and (5) antibiotic use and resistance. Each correct answer scored one point (range 0-10). Besides, we assessed knowledge scores in different subgroups based on age, menopausal status, education (8 levels), (para)medical background, number of UTIs/year, type of UTIs, experience with UTI prophylaxis and general health status. Finally, a median regression analysis was performed to examine the effect of those determinants on knowledge scores. Results:
The median UTI knowledge score among 246 women (response rate 52%) was 7.0 points (interquartile range 6.0 to 8.0). Lower educational level and no (para)medical background were associated with lower knowledge scores. Other variables were unrelated to UTI knowledge score. By regression analysis, we found that each increase in educational level was associated with a 0.3 point (95% confidence interval (CI) 0.1-0.5) increase in median knowledge score, whereas having a (para)medical background increased the median knowledge score by 0.7 points (CI 0.5-1.3). Conclusion:
Lower educated women with recurrent UTIs, or women without a (para)medical background, had a lower UTI knowledge score. To improve knowledge special attention should be paid to this group. Physicians should take this into account during conversations with individual patients.
Amit Itay1, Corianne Deborgie1, Gerben Terriet1, Marielle Beerepoot1, Suzanne Geerlings, MD, PhD2 and  S. E. Geerlings,
MSD Role(s): Scientific Advisor (Review Panel or Advisory Committee), Received: Consulting Fee.
GSK Role(s): Scientific Advisor (Review Panel or Advisory Committee), Received: Consulting Fee., (1)Academic Medical Center, (2)Department of Internal Medicine, Division of Infectious Diseases, Tropical Medicine and AIDS, and Center for Infection and Immunity Amsterdam (CINIMA), Academic Medical Center, Amsterdam, Netherlands

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