Introduction and hypothesis The Global Prevalence Study of Infections in Urinary tract in Community Setting (GPIU.COM) includes epidemiological aspects of acute cystitis (AC) in women in Germany and Switzerland. The primary study relates to the German version of the Acute Cystitis Symptom Score (ACSS), a self-reporting questionnaire for self-diagnosis and monitoring the symptomatic course of AC in women. The current study aimed to analyze the validity and reliability of the German ACSS in German-speaking female patients with AC in Switzerland. Methods Anonymized patient data were collected and analyzed from women with AC at the first visit (diagnosis) and follow-up visits as baseline and controls, respectively. Data from 97 patients with a median age of 41 years underwent analysis. Psychometric and diagnostic characteristics of the ACSS were measured and statistically analyzed. Results Average internal consistency of the ACSS resulted in a Cronbach’s alpha (95% CI) of 0.86 (0.83; 0.89) and did not differ significantly between the Swiss and German cohorts. Diagnostic values of the ACSS for the Swiss cohort were relatively lower than for the German cohort, possible due to discrepancies between definitions of UTI in national guidelines. Conclusions The analysis showed that the German version of the ACSS is also suitable for use in the German-speaking female population of Switzerland. Minor differences in definitions of AC between German and Swiss guidelines explain the observed discrepancies in diagnostic values of the ACSS between cohorts.
This article studies isues of prevalence of the most significant urological diseases in the Aral Sea Area in the environment of primary health care. Survey was conducted in four rural-medical centers of the region. In order to carry out the inspection the representative sampling was formed, where the both gender personalities of the age of 1 year and older were included. In total 7597 people were inspected that made 85.4% of the number subject to inspection. As a result of epidemiologic survey the level of true illness level of the population in the Aral Sea Area was established on certain nosological forms of urologic diseases. The analysis has shown that the most widespread among the population is the urine tract infection (10.75±0.36), followed by pre-pre-lithiasis (5.82±0.27), BPH (3.37±0.21) and urolithiasis (1.40±0.13) per 100 surveyed. It should be noted that in no case the comparison of prevalence rate of urological diseases in Khorezm region and in the Republic of Karakalpakstan has revealed significant territorial indicators differences (р>0.05). Big importance in conduction of epidemiologic survey is given to involving to its fulfillment of initial health care link (general practitioners), as the most approached and having the possibility to carry out the early diagnostics of urological diseases.
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