TY  - CHAP
T1  - Psychosocial burden of recurrent uncomplicated urinary tract infections
T2  - Urogenital Infections and Inflammations
AU  - Naber, Kurt G.
AU  - Wagenlehner, Florian M. E.
AU  - Tiran Saucedo, Jose
AU  - RECAP group
ED  - Naber, Kurt G.
AD  - Kurt G. Naber MD, PhD, Technical University of Munich, Karl-Bickleder-Straße 44C, 94315, Straubing, Deutschland, E-mail: kurt.naber@nabers.de
N2  - Introduction: Urinary tract infections (UTI) are a leading cause of bacterial infections in women. Despite acute treatment, 30–50% of women who have a UTI will experience a recurrence within 6–12 months. In this review, the focus will be on the personal psychosocial impacts of recurrent UTI. Methods: A PubMed/MEDLINE literature search was carried out from 2000 to 2020 in order to identify any recent high-quality meta-analyses or systematic reviews on these topics. Results: One systematic review was found appropriate for this manuscript. Concerning impact on quality of life (QoL) and daily activities, a reduced quality of both intimate and social relationships, self-esteem, and capacity for work was found due to recurrent UTI. Social function was substantially more reduced than physical function. In one study, the greatest reduction overall was in mental role functioning, whereas in another study, mental health reductions were not substantially greater than those of physical health. About one third of women suffered from UTI very often or often after sexual intercourse, and more than half of the patients stated that sexual relations were negatively influenced by UTI. Data from the GESPRIT study suggest that prophylaxis for recurrent UTI is underutilized, because less than 40% of the study population were offered prophylaxis after experiencing three UTI per year, despite all surveyed participants being willing to undertake at least one of the prophylactic measures listed in the survey. Conclusions: Little data on the psychosocial impact of recurrent UTI are available. Therefore, future studies must also incorporate QoL assessments as key outcome measures. 
PY  - 2022
DA  - 2022/04/08
DO  - 10.5680/lhuii000072
LA  - en
L1  - https://books.publisso.de/de/system/getFile/840
UR  - https://dx.doi.org/10.5680/lhuii000072
L2  - https://dx.doi.org/10.5680/lhuii000072
KW  - women
KW  - recurrent urinary tract infections
KW  - psychosocial impact
KW  - quality of life
KW  - mental health
KW  - sexual function
KW  - behavioral modification
KW  - immunoactive prophylaxis
KW  - antibiotic prophylaxis
KW  - treatment
PB  - German Medical Science GMS Publishing House
CY  - Berlin
ER  -