Association between urinary tract infection and postmicturition wiping habit

Persad, Sunil; Watermeyer, S; Griffiths, A; Cherian, Bina; Evans, Jane

doi:10.1080/00016340600936977

Cited by 23 publications

(14 citation statements)

References 7 publications

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“…Some studies have shown that wiping habits from back to front after a bowel movement or urination are associated with an increased risk of UTI. 31,32 In women, the urethra is close to the genitalia and anus. The fecal microbiota is a primary source of E. coli causing UTIs via the fecal–perineal–urethral route.…”

Section: Discussionmentioning

confidence: 99%

Behavioral and dietary risk factors of recurrent urinary tract infection in Chinese postmenopausal women: a case–control study

et al. 2019

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Objective The present study aimed to examine the behavioral and dietary risk factors of recurrent urinary tract infection (RUTI) in postmenopausal patients in China. Methods We performed a population-based case–control study with 193 postmenopausal women with RUTI and 193 age-matched healthy female controls with no history of RUTI. The study was conducted between January 2016 and June 2018 in Changzhou, China. Data were collected using an interviewer-based questionnaire, including information on demographics, lifestyle behavior, and habitual diet. Conditional logistic regression analysis was conducted to examine the risk factors associated with RUTI. Results Wiping from back to front after toilet use, sedentary behavior >6 hours/day, delayed voiding, and chronic constipation were associated with an increased risk of RUTI. Drinking more than three cups of green tea per month showed an inverse association with RUTI. However, there was no evidence of dose dependency for overall consumption. Additionally, the three-cup association involved a small proportion of cases and may reflect statistical artifact. Conclusions Wiping from back to front after toilet use, sedentary behavior, delayed voiding, and chronic constipation are associated with an increased risk of RUTI in postmenopausal women.

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Section: Discussionmentioning

confidence: 99%

Behavioral and dietary risk factors of recurrent urinary tract infection in Chinese postmenopausal women: a case–control study

et al. 2019

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“…Persad et al () reported that the post‐micturition wiping from BTF could be a risk factor for cystitis in pregnancy. On the other hand, Klatt et al () reported that BTF wiping after toilet was not associated with recurrent bacterial vaginosis.…”

Section: Discussionmentioning

confidence: 99%

“…Many reports have demonstrated various factors, including sexual intercourse, the use of spermicides, decreases in estrogen, urinary tract confinement, diabetes, urinary incontinence, faecal incontinence, the use of intrauterine devices, neurogenic bladder and the presence of excessive residual urine, to be triggers of cystitis in females (Hooton et al, 1996;Foxman, 2002;Handley et al, 2002). Persad et al (2006) reported that the postmicturition wiping from BTF could be a risk factor for cystitis in pregnancy. On the other hand, Klatt et al (2010) reported that BTF wiping after toilet was not associated with recurrent bacterial vaginosis.…”

Section: Discussionmentioning

confidence: 99%

Instructing females to wipe their vulva after bowel movements is unnecessary to prevent cystitis: a short research report

Kurata

Noguchi

Tobu

et al. 2016

Int J of Uro Nursing

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In Japan, females are often taught to wipe their vulva from front to back (FTB) after bowel movements in order to prevent cystitis. In this report, we studied whether vulva care after bowel movements in females is a risk factor for simple cystitis. Moreover, we evaluated factors affecting the method of vulva care after bowel movements in females. We recruited 274 females for this study. We analysed the correlations between the style of vulva care, restroom habits and patient characteristics. In addition, we evaluated the correlation between the incidence of cystitis and the style of vulva care after bowel movements. There were no significant differences in the presence of coexisting diseases (P = 0·766), activities of daily living (ADL's) (P = 0·203), body mass index (BMI) (P = 0·174) or restroom style (P = 0·512). However, a significantly greater number of elderly subjects reported wiping from back to front (P = 0·023). In the cystitis group, 48 females (28%) reported wiping the vulva from back to front after bowel movements. In the control group, 29 females (28%) reported wiping the vulva from FTB after bowel movements. There were no significant differences between these two groups (P = 0·988). Our data demonstrated that instructing females to wipe their vulva from FTB after bowel movements is unnecessary for the purpose of preventing cystitis.

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“…The uses of bubble bath, constipation (based on ROME III criteria for chronic functional constipation for children), breastfeeding status in the first 6 months, circumcision status were nominal scale, divided into yes and no. Type of postmicturition wiping habits on girls divided into back to front, front to back and dabbing [12]. The frequency of diaper changing were divided into rare if less or equal to 4 times per day, often if 4-6 times per day and very often often if more than or equal to 7 times per day 6.…”

Section: Methodsmentioning

confidence: 99%

The Impact of Duration of using Superabsorbent Diaper on the Incidence of Urinary Tract Infection in Children

Lestari¹

2014

J Nephrol Ther

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Background: UTI is a common infection in children. Its highest prevalence takes place during infancy and toilet training period in which most infants use diaper. However, the impact of diaper use on UTI in children has been conflicting. Objective: To determine the correlation between duration of superabsorbent diaper usage with incidence of UTI in children. Methods: We performed a prospective cohort study from August-September 2011. We recruited children who used diaper every day, went to play group or posyandu (community health care centres) at Yogyakarta City. Subjects were divided into 2 groups. We compared the incidence of UTI among children who used a diaper > 4 hours per day (group I) and those who used a diaper ≤ 4 hours per day (group II). Results: There were 180 children included in this study. Out of 90 children in group I, 26 (28.9%) had UTI whereas 9 (10%) of 90 children from group II had UTI. Multivariate analysis showed that UTI was significantly higher in children who used diaper > 4 hours per day compared to children who used diaper ≤ 4 hours per day (OR 3.65; 95%CI 1.60-8.35). The Mantel Haenszel analysis showed that the risk ratio for girls was 3.13 (95%CI 1.50-6.55) and boys was 1.56 (95%CI 0.27-8.94), use of diaper in girls > 4 hours per day therefore increased the risk of UTI. Conclusions: The use of superabsorbent diaper > 4 hours per day increased the risk of UTI 365 times compared with the use of ≤ 4 hours per day. Girls who used diaper > 4 hours per day in girls significantly increased the risk UTI.

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Association between urinary tract infection and postmicturition wiping habit

Cited by 23 publications

References 7 publications

Behavioral and dietary risk factors of recurrent urinary tract infection in Chinese postmenopausal women: a case–control study

Behavioral and dietary risk factors of recurrent urinary tract infection in Chinese postmenopausal women: a case–control study

Instructing females to wipe their vulva after bowel movements is unnecessary to prevent cystitis: a short research report

The Impact of Duration of using Superabsorbent Diaper on the Incidence of Urinary Tract Infection in Children

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