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• W2015933657 abstract "You have accessJournal of UrologyGeneral & Epidemiological Trends & Socioeconomics: Evidence-based Medicine & Outcomes II1 Apr 2015MP9-05 INCIDENCE AND CHARACTERISTICS OF UNCOMPLICATED RECURRENT URINARY TRACT INFECTIONS IN A NATIONAL SAMPLE OF COMMUNITY DWELLING WOMEN Anne M. Suskind, Christopher S. Saigal, Janet M. Hanley, Julie Lai, Claude M. Setodji, J. Quentin Clemens, and Urologic Diseases of America Project UDA Anne M. SuskindAnne M. Suskind More articles by this author , Christopher S. SaigalChristopher S. Saigal More articles by this author , Janet M. HanleyJanet M. Hanley More articles by this author , Julie LaiJulie Lai More articles by this author , Claude M. SetodjiClaude M. Setodji More articles by this author , J. Quentin ClemensJ. Quentin Clemens More articles by this author , and Urologic Diseases of America Project UDAUrologic Diseases of America Project UDA More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2015.02.365AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Uncomplicated recurrent urinary tract infections (UTIs) in community dwelling women represent a common and costly, yet understudied condition. This study determines the incidence and characteristics of this population, and explores whether or not culture driven treatment affects future rates of UTI complications. METHODS We identified women with uncomplicated recurrent UTIs using MarketScan data from 2003–2011. Recurrent UTIs were defined as 3 UTI visits (office or emergency room) associated with a prescription for antibiotics during a 12-month definitional period. Cases were excluded if they had a UTI in the year preceding the first UTI in the definitional period, or if they had any complicating factors (e.g. any abnormality of the urinary tract, a neurologic condition, pregnancy, diabetes, or currently taking immunosuppression). We determined incidence of uncomplicated recurrent UTIs and how many of these women had urine cultures, imaging, and cystoscopy associated with their condition. Propensity score analysis was performed to determine whether having a urine culture associated with >50% of UTIs affected rates of downstream resource utilization and complications (e.g. emergency room visits, hospitalizations, office visits, IV antibiotics, and pyelonephritis). RESULTS We identified 28,545 women with uncomplicated recurrent UTIs during our study period, accounting for an incidence of 102 per 100,000 women. Frequency of recurrent UTIs increased with age, and 61% of these women had at least one urine culture, 6.9% had imaging, and 2.8% had cystoscopy during the 12-month definitional period. Having a urine culture >50% of the time during the 12 month definitional period was associated with fewer UTI related hospitalizations (p=0.005) and less frequent use of IV antibiotics (p=0.002) in the subsequent year. CONCLUSIONS Uncomplicated recurrent urinary tract infections among community dwelling women are fairly common. Urine culture directed care in these women is associated with decreased utilization of high cost resources. Findings from this study are important to inform future treatment guidelines for women with uncomplicated recurrent UTIs. © 2015 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 193Issue 4SApril 2015Page: e103-e104 Peer Review Report Advertisement Copyright & Permissions© 2015 by American Urological Association Education and Research, Inc.MetricsAuthor Information Anne M. Suskind More articles by this author Christopher S. Saigal More articles by this author Janet M. Hanley More articles by this author Julie Lai More articles by this author Claude M. Setodji More articles by this author J. Quentin Clemens More articles by this author Urologic Diseases of America Project UDA More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ..." @default.
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• W2015933657 title "MP9-05 INCIDENCE AND CHARACTERISTICS OF UNCOMPLICATED RECURRENT URINARY TRACT INFECTIONS IN A NATIONAL SAMPLE OF COMMUNITY DWELLING WOMEN" @default.
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