Urinary tract infection: diabetic women's strategies for prevention

Urinary tract infection (UTI) is a common problem in the female population. Women with diabetes mellitus are possibly at a higher risk. The usual medical therapy for UTI is antibiotic treatment. The aim of this study is to explore strategies employed by diabetic women for prevention and self-treatment of UTI. Forty-two women with diabetes mellitus who had experienced at least one episode of UTI in the last six months were included. Data collection included background information, questions about prevention and self-treatment strategies and a clinical examination to measure maximal urine flow, residual urine, a blood test evaluating diabetic control (HbA1c) and a urine test strip for determination of glucose, leucocytes, nitrite, blood, protein and pH. Thirty-five participants (83.3%) reported changes in daily routines like 'always keeping warm', 'increased fluid intake', 'good personal hygiene' as prevention strategies. Different herb and plant extracts were used for prevention by twenty-three participants (54.5%). Among the twenty-three (54.5%) participants who used self-treatment strategies when they noticed symptoms of UTI, intake of cranberry tablets or capsules was most common. Better knowledge of strategies for prevention and self-treatment of UTI may reduce distress and discomfort for women at risk.