自我报告的复发性尿路感染是否与门失禁和阻塞性排便有关? 一项使用电子PROM数据的多中心病例控制研究
Thomas J Curtis1,2, Roberta Bugeja3, Stephen C Radley4,5
1Department of Obstetrics & Gynaecology, Norfolk & Norwich University Hospitals NHS Foundation Trust, Norwich, UK.
概括
门失禁 (AI) 和阻塞性排便 (ODS) 与女性复发性尿路感染 (rUTI) 的更高率有关. 这些情况被确定为有助于rUTI发展的重大风险因素.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 胃肠病学 胃肠病学
- 盆地底疾病 盆地底疾病
背景情况:
- 女性尿路感染 (UTI) 的已建立模型涉及从门上升的感染.
- 门失禁 (AI) 和阻塞性排便 (ODS) 之前没有被证实是复发性尿路感染 (rUTI) 的危险因素.
研究的目的:
- 调查AI和ODS与女性自我报告的RUTI之间的关联.
- 使用患者报告结果测量 (PROM) 数据来探索这种关系.
主要方法:
- 从7家NHS医院 (2018-2022) 分析了7990个ePAQ-皮层PROM.
- 纳入标准要求完成肠道尺寸和RUTI项目.
- 统计分析包括曼-惠特尼,后勤回归和斯皮尔曼等级相关性.
主要成果:
- 11.7%的参与者报告了RUTI.
- 患有RUTI的女性报告说,平性失禁,液体AI,固体AI,被动性便失禁和用于AI的子使用的症状明显恶化.
- 围 splinting/阴道数字化和门数字化也与RUTI有关.
- 尿路感染频率与所有AI和ODS症状的相关性很弱.
结论:
- AI和ODS症状与自我报告的RUTI率的增加有显著的相关性.
- 这些发现支持了AI和ODS对女性rUTI的发病有所贡献的假设.
- 人工智能和ODS被确定为RUTI的贡献性风险因素,以及其他多因素原因.
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