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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
Intermittent catheter users' symptom identification, description and management of urinary tract infection: a qualitative study
Objectives To elucidate the views of intermittent catheter (IC) users regarding urinary tract infection (UTI) symptom presentation, terminology for describing signs and
symptoms, the cause of UTI and management strategies. Design Qualitative study with semi-structured interviews. The transcribed text was analysed thematically.
Setting 12 general practitioner (GP) surgeries in Hampshire and Dorset, UK. Participants A convenience sample of 30 IC users, aged over 18, using IC for at least 3 months who had at least one self-reported UTI since starting IC. Results Participants reported a variety of signs and symptoms, such as urine cloudiness and smell, as
indicators of UTI. The terms used often differed from those in the modified National Institute on Disability and Rehabilitation Research (NIDRR) symptom set. IC users
had difficulty distinguishing possible UTI symptoms from those of their comorbidities. They expressed uncertainty about the cause of UTI, often attributing it to poor hygiene
and lifestyle behaviours. Whereas some viewed UTI as an expected consequence of IC use that could be self managed, others felt more concerned and were more
reliant on their GP for support. A range of management strategies was described, including drinking more fluids, increased attention to personal hygiene and self-medicating with antibiotics. Conclusions There is uncertainty among IC users about
UTI signs and symptoms and when to seek help. Individual accounts of UTI fitted generally within the modified NIDRR descriptors but adopted less technical and more
‘lay’ language. IC users’ descriptions of UTI signs and symptoms can lack precision, owing partly to the presence of underlying health conditions. This, together with
differing levels of concern about the need to seek help and self-medication with antibiotics, presents challenges for the GP. This study provides the basis for developing a self help tool which may aid identification of UTI and enhance
communication with healthcare professionals.
2044-6055
1-8
Okamoto, Ikumi
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Prieto, Jacqueline
47dd42cd-35d5-4ece-8fc6-fdb8fe1f01cc
Avery, Miriam R.
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Moore, K.N.
b3a46c9f-9449-4b9c-8f8e-53bf5439d403
Fader, Miranda
c318f942-2ddb-462a-9183-8b678faf7277
SARTAIN, SAMANTHA A
1a64411f-318d-4db8-a038-655cc21ab91b
Clancy, Bridget
05e8a022-6365-4ed8-9ac8-7390025d1465
Okamoto, Ikumi
fc9b4fed-0c78-4925-9e6f-2bfa7c3d48bc
Prieto, Jacqueline
47dd42cd-35d5-4ece-8fc6-fdb8fe1f01cc
Avery, Miriam R.
f92866a0-096b-47f4-a63f-8b651164eee9
Moore, K.N.
b3a46c9f-9449-4b9c-8f8e-53bf5439d403
Fader, Miranda
c318f942-2ddb-462a-9183-8b678faf7277
SARTAIN, SAMANTHA A
1a64411f-318d-4db8-a038-655cc21ab91b
Clancy, Bridget
05e8a022-6365-4ed8-9ac8-7390025d1465

Okamoto, Ikumi, Prieto, Jacqueline, Avery, Miriam R., Moore, K.N., Fader, Miranda, SARTAIN, SAMANTHA A and Clancy, Bridget (2017) Intermittent catheter users' symptom identification, description and management of urinary tract infection: a qualitative study. BMJ Open, 7, 1-8. (doi:10.1136/bmjopen-2017-016453).

Record type: Article

Abstract

Objectives To elucidate the views of intermittent catheter (IC) users regarding urinary tract infection (UTI) symptom presentation, terminology for describing signs and
symptoms, the cause of UTI and management strategies. Design Qualitative study with semi-structured interviews. The transcribed text was analysed thematically.
Setting 12 general practitioner (GP) surgeries in Hampshire and Dorset, UK. Participants A convenience sample of 30 IC users, aged over 18, using IC for at least 3 months who had at least one self-reported UTI since starting IC. Results Participants reported a variety of signs and symptoms, such as urine cloudiness and smell, as
indicators of UTI. The terms used often differed from those in the modified National Institute on Disability and Rehabilitation Research (NIDRR) symptom set. IC users
had difficulty distinguishing possible UTI symptoms from those of their comorbidities. They expressed uncertainty about the cause of UTI, often attributing it to poor hygiene
and lifestyle behaviours. Whereas some viewed UTI as an expected consequence of IC use that could be self managed, others felt more concerned and were more
reliant on their GP for support. A range of management strategies was described, including drinking more fluids, increased attention to personal hygiene and self-medicating with antibiotics. Conclusions There is uncertainty among IC users about
UTI signs and symptoms and when to seek help. Individual accounts of UTI fitted generally within the modified NIDRR descriptors but adopted less technical and more
‘lay’ language. IC users’ descriptions of UTI signs and symptoms can lack precision, owing partly to the presence of underlying health conditions. This, together with
differing levels of concern about the need to seek help and self-medication with antibiotics, presents challenges for the GP. This study provides the basis for developing a self help tool which may aid identification of UTI and enhance
communication with healthcare professionals.

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Accepted/In Press date: 4 July 2017
e-pub ahead of print date: 3 September 2017

Identifiers

Local EPrints ID: 415121
URI: https://eprints.soton.ac.uk/id/eprint/415121
ISSN: 2044-6055
PURE UUID: 1c41ee33-a0e2-4001-89ab-b365e4a9dea4
ORCID for Jacqueline Prieto: ORCID iD orcid.org/0000-0002-5524-6775

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Date deposited: 31 Oct 2017 17:30
Last modified: 20 Jul 2019 01:00

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Contributors

Author: Ikumi Okamoto
Author: Miriam R. Avery
Author: K.N. Moore
Author: Miranda Fader
Author: SAMANTHA A SARTAIN
Author: Bridget Clancy

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