Urinary tract infection in primary health care in northern Sweden. II. Clinical presentation

Scand J Prim Health Care. 1987 Sep;5(3):176-80. doi: 10.3109/02813438709014000.

Abstract

In a multipractice prevalence study of uncomplicated urinary tract infection (UTI) in primary health care (PHC), with 355 episodes in 302 individuals during one month, 93% of the episodes occurred in females and Escherichia coli was the dominating causative organism (77%). Most episodes of UTI (84%) were acute and associated with lower (75%), upper (5%) or uncharacteristic symptoms (4%) whereas 16% represented bacteriuria discovered by posttreatment controls. Urgency (77%) and dysuria (70%) were the most common symptoms. Loin pain was highly associated with upper UTI (88%) but was reported also in 23% of episodes of lower UTI. Patient's delay differed between PHC centres and patient categories and was surprisingly long, four weeks in nine per cent and on average 8.4 days.

MeSH terms

  • Adolescent
  • Adult
  • Age Factors
  • Aged
  • Aged, 80 and over
  • Child
  • Child, Preschool
  • Escherichia coli Infections / epidemiology
  • Female
  • Humans
  • Male
  • Middle Aged
  • Primary Health Care*
  • Sex Factors
  • Sweden
  • Time Factors
  • Urinary Tract Infections / diagnosis
  • Urinary Tract Infections / epidemiology*
  • Urinary Tract Infections / microbiology