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  4. Intermittent catheter users’ symptom identification, description and management of urinary tract infection: a qualitative study

Intermittent catheter users’ symptom identification, description and management of urinary tract infection: a qualitative study

BMJ Open, 2017 · DOI: 10.1136/bmjopen-2017-016453 · Published: July 4, 2017

UrologyHealthcareResearch Methodology & Design

Simple Explanation

This study explored how people who use intermittent catheters (IC) understand and describe urinary tract infection (UTI) symptoms. Researchers conducted interviews to learn about their experiences with UTI, including how they prevent, identify, and manage them. The study found that IC users often use different terms than medical professionals to describe UTI symptoms. They also have difficulty distinguishing UTI symptoms from other health problems. Many IC users try to manage UTI symptoms themselves before seeking help from a doctor. This can involve drinking more fluids or self-medicating with antibiotics.

Study Duration
Not specified
Participants
30 IC users
Evidence Level
Qualitative study

Key Findings

  • 1
    IC users describe UTI signs and symptoms using informal terms that often differ from standard medical terminology, such as the NIDRR symptom list.
  • 2
    Participants experienced difficulty in distinguishing UTI symptoms from symptoms related to existing comorbidities or age-related issues, leading to uncertainty in identifying a UTI.
  • 3
    IC users employ various self-management strategies, including increasing fluid intake, improving personal hygiene, and self-medicating with antibiotics, before seeking professional medical help.

Research Summary

This qualitative study explored how intermittent catheter (IC) users perceive, describe, and manage urinary tract infections (UTIs). The study revealed that IC users often use different terms than medical professionals to describe UTI symptoms and struggle to differentiate UTI symptoms from other health conditions. The findings suggest a need for a user-friendly UTI symptom list and an evidence-based self-care algorithm to improve self-management and appropriate antibiotic use among IC users.

Practical Implications

Develop User-Friendly Symptom List

Create a UTI symptom list using language easily understood by IC users to improve symptom recognition.

Enhance Patient Education

Provide updated education on best practices for IC, causes of UTI, and appropriate antibiotic use.

Improve GP-Patient Communication

Facilitate better communication between IC users and GPs by helping users articulate their concerns and symptoms effectively.

Study Limitations

  • 1
    The study relies on subjective, self-reported data and may not reflect confirmed UTI diagnoses.
  • 2
    The sample size is small and predominantly composed of older adults, limiting generalizability to all IC users.
  • 3
    The study did not specifically address attitudes toward or understanding of antibiotics among participants.

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