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Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care01:30

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A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
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Uroflowmetry is a non-invasive urodynamic test designed to measure various aspects of urination, including volume, flow rate, and the time to void. This test is crucial for diagnosing and assessing conditions such as bladder outlet obstruction, bladder dysfunction, incomplete bladder emptying, incontinence, and urinary tract blockages caused by benign prostatic hyperplasia (BPH) and urethral strictures.Pre-Test Instructions:Before a uroflowmetry test, patients are typically advised to drink...

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A Randomized Controlled Trial of a Web-Based Management Support System for Children With Urinary Incontinence: The

Patrina H Y Caldwell1,2, Deborah Richards3, Sana Hamilton1

  • 1The Children's Hospital at Westmead, Sydney, Australia.

The Journal of Urology
|December 27, 2023
PubMed
Summary

A web-based program for children with urinary incontinence improved dryness and quality of life while waiting for specialist appointments, but did not reduce appointment requests.

Keywords:
childrenenuresisoutpatient clinictelemedicineurinary incontinence

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Area of Science:

  • Pediatric Urology
  • Digital Health Interventions
  • Clinical Trial Research

Background:

  • Children referred to specialist clinics face long waits.
  • Urinary incontinence in children significantly impacts quality of life.
  • Effective management strategies during waiting periods are needed.

Purpose of the Study:

  • To assess if a web-based management support for children with urinary incontinence reduces specialist appointment requests.
  • To evaluate the impact of an eHealth intervention on children awaiting specialist care.

Main Methods:

  • A multicenter, waitlisted randomized controlled trial involving children (5-18 years) with urinary incontinence.
  • Intervention group received the electronic Advice and Diagnosis Via the Internet following Computerized Evaluation (eADVICE) program immediately.
  • Control group received the eADVICE program after 6 months; primary outcome was clinic appointment requests at 6 months.

Main Results:

  • 78% of eADVICE participants vs 84% of controls requested a clinic visit (P = .3).
  • 23% of eADVICE participants achieved complete dryness vs 10% of controls (P = .03).
  • Adjusted mean Paediatric incontinence Questionnaire (PinQ) score improved in the eADVICE group (P = .03).

Conclusions:

  • The eADVICE eHealth program doubled the proportion of dry children and improved quality of life.
  • The intervention did not significantly reduce the number of children requesting specialist appointments.
  • Web-based interventions show promise for improving outcomes in pediatric urinary incontinence while awaiting specialist care.