Current trends in Diagnostics and Management of

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Duration of symptoms. 4 days. 6 days.
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Current trends in Diagnostics and Management of Uncomplicated Urinary Tract Infections

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Dr. Jakhongir F. Alidjanov. Giessen, Germany.

November 18-19, 2016. Giessen, Biomedizinisches Forschungszentrum (BFS)

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Urinary tract infections

•Are common

• 250 000 000 cases

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per year;

• Vast majority of cases are related to female patients, presenting with acute cystits (84%) ;

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2

Lower urinary tract infections (acute cystitis)

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• Acute onset • Highly symptomatic • Characterized by:

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• Pyuria and bacteriuria

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Symptomatology – diagnostic value of signs and symptoms.

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«Typical» symptoms Sign/symptom

Painful urination Frequent urination Haematuria Flank pain Tenderness in costo-vertebral angle

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Chill, fever Flank pain

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General weakness, fatiguability Duration of symptoms

95% CI

1,5 1,2-2,0 1,8 1,1-3,0 2,0 1,3-2,9 1,6 1,2-2,1 1,7 1,1-2,5 Bent, S., et al., JAMA, 2002.

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«General» symptoms Sign/symptom

LR+

Culture (+)

Culture (-)

P

33%

38%

>0,05

44%

56%

>0,05

71%

65%

>0,05

4 days

6 days