Signs and Evidence

Making clinical sense of scientific data

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Beware of the limitations of this tool

Urinary tract infection in women

Calculated pretest probability: 5 %
Relevant inclusion criteria: Adult women 

Anamnesis

1Dysuria
2Hematuria - macroscopic
3Nocturia
4Fever
5Urgency - miction
6Polakysuria
7Abdominal pain
8Back pain
9Vaginal discharge



To further investigations





Sources used:

1.Giesen LGM et al. Predicting acute uncomplicated urinary tract infection in women: a systematic review of the diagnostic accuracy of symptoms and signs. BMC Family Practice 2010 11:78
2.Bent S et al. Does this woman have an acute uncomplicated urinary tract infection? JAMA 2002 May 22, 287 (20): 2701-10
3.Laosu-angkoon S et al. The sensitivity and specificity of a urine leukocyte esterase dipstick test for the diagnosis of urinary tract infection in the outpatient clinic of Rajavithi Hospital. J Med Assoc Thai. 2013 Jul;96(7):849-53
4.Daghistani HA et al. Diagnostic Value of Various Urine Tests in the Jordanian Population with Urinary Tract Infection. Clinical Chemistry and Laboratory Medicine 40(10):1048-51 ยท November 2002
5.Little P et al. Developing clinical rules to predict urinary tract infection in primary care settings: sensitivity and specificity of near patient tests (dipsticks) and clinical scores. Br J Gen Pract. 2006 Aug;56(529):606-12