Potential host-related risk factors for recurrent urinary tract infection in Saudi women of childbearing age

Ahmed, Abul-fotouh; Solyman, Awatif Abdel-karim; Kamal, Sanaa M.

doi:10.1007/s00192-016-2965-0

Cited by 10 publications

(8 citation statements)

References 26 publications

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“…However, washing the genital area and voiding after intercourse may have a preventive effect against the UTI. The results of our study demonstrated that women who usually did not void post-coitus were most likely to develop the UTI compared to those who did urinate after intercourse, which is in line with the results of studies by Ahmed et al and Amiri et al (14,17). UTI was also found to be prevalent among pregnant women whose husbands did not wash genitals pre-coitus.…”

Section: Discussionsupporting

confidence: 92%

“…Based on the results of the present study, the direction of wiping or washing the genital area after voiding was considered to be important and women who washed their genital area from back to front showed a higher incidence of UTIs. This was reported in some other studies like Ahmed et ak (17), Abdel-Aziz Elzayat (15), and Amiri et al (14). The hygiene habits related to toilet hygiene such as wiping or washing perineal area from back to front after urination or defecation are more likely to develop the anal or vaginal flora into the urethra (19).…”

Section: Discussionmentioning

confidence: 55%

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Association Between Sexual and Genital Hygiene Habits With the Urinary Tract Infection During Pregnancy: A Case-Control Study

Haghdoost

Pazandeh

Khabazkhoob

et al. 2019

International Journal of Women’s Health and Reproduction Scienc

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Objectives: Urinary tract infections (UTIs) are the most common type of infection during pregnancy, which cause serious complications for the mother and baby. The present study was conducted to investigate the relationship between sexual and genital hygiene habits and UTIs in pregnant women. Materials and Methods: This case-control study was conducted on 187 pregnant women including 97 pregnant women with symptomatic bacteriuria (case) and 90 healthy pregnant women (control). Controls were frequency matched with the cases with respect to the number of pregnancy and trimesters of pregnancy. Both groups were compared for the presence of UTI. Finally, the binary multivariate unconditional logistic regression approach was used to evaluate the association between UTI and the confounding variables. Results: The results of this study showed a significant association between UTI in pregnancy and sexual and genital hygiene habits (P<0.05). Based on the binary multivariate logistic regression analysis, attributable risks for UTI included having sexual intercourse >3 times/week (adjusted odds ratio [AOR] =3.68, 95% CI = 2.09-5.41, P=0.001), changing the underwear per week (AOR =1.39, 95% CI=1-1.76, P=0.012), not voiding post-coitus (AOR=2.01, 95% CI=1.34-2.69, P=0.01), washing genitalia from back to the front (AOR=1.96, 95% CI=1.06-2.78, P=0.01), and not washing genitals pre-coitus by the husband (AOR=1.20, 95% CI=0.54-1.9, P=0.024) were among the sexual and hygiene habit variables associated with UTI in pregnant women in this model. Conclusions: In general, sexual and genital hygiene habits are vital preventive actions for controlling the UTI in pregnant women. These actions may lead to UTI complications and a preterm birth reduction. Thus, informing spouses about these practices is highly suggested.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 55%

Association Between Sexual and Genital Hygiene Habits With the Urinary Tract Infection During Pregnancy: A Case-Control Study

Haghdoost

Pazandeh

Khabazkhoob

et al. 2019

International Journal of Women’s Health and Reproduction Scienc

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“… 4 , 11 - 22 One study used both random and convenience sampling. 16 Patients were assessed using self-administered questionnaires (n=4), nurse-assisted questionnaires (n=2), and examination (n=5) ( Table 1 ). 4 , 12 - 14 , 16 - 19 , 21 , 22 Five studies 17 , 18 , 20 - 22 were considered high quality and 8 studies 4 , 11 - 16 , 19 were reported low quality according to the JBI critical appraisal tool ( Table 2 ).…”

Section: Resultsmentioning

confidence: 99%

Prevalence of pelvic floor disorders in the Eastern Mediterranean region

Elbiss

Rafaqat

Khan

2023

SMJ

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Objectives: High prevalence of risk factors for pelvic floor disorders (PFD) in the Eastern Mediterranean may result in higher rates of prevalence of PFD in comparison to other regions. Despite individual studies, there are no clear statistics on the cumulative prevalence of PFDs in the East Mediterranean region. The aim of this study was to investigate the prevalence of PFDs in the Eastern Mediterranean region. Methods: A literature search without language restriction was conducted in PubMed, Cochrane database and Web of Science from 2016 to 01 Systematic ReviewJune 2022. Cross-sectional and cohort studies that reported prevalence of urinary incontinence (UI), constipation, fecal incontinence (FI) and pelvic organ prolapse (POP) among women in the Eastern Mediterranean region were included. Study quality was assessed according to the Joanna Briggs Institute critical appraisal tool. Data were pooled and meta-analysed using a random effects model. PROSPERO: CRD42021283127 Results:The search yielded 390 articles, from which 12 studies containing 9905 patients were included. Five studies were high quality and seven were low quality. The prevalence of POP (12 studies, 9905 participants), UI (5 studies, 2340 participants), constipation (4 studies, 2045 participants) and FI (1 study, 166 participants) was 39% (95% CI 21-57; I2 99.8%), 48% (95% CI 16-80; I2 99.7%), 39% (CI 17-60; I2 99.1%) and 14% (95% CI 9-20) respectively. Conclusion:In meta-analysis pooling studies of mixed quality, a high prevalence of PFDs was seen in the Eastern Mediterranean region.

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“…Women who do not void post-coitus were most likely to be UTI positive as compared to those who void after intercourse. 25,28 Voiding practices by the respondents indicated that 65% of E. coli infected gravid mothers voluntarily delayed voiding. Similarly, 80% of Klebsiella pneumonia patients delayed voiding.…”

Section: Discussionmentioning

confidence: 99%

Nexus of urinary tract infection prevalence of the causal organism and predisposing factors in Kanyakine Hospital, Meru, Kenya

Muthee

Gitonga

Musau

2022

Int J Community Med Public Health

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Background: Globally, urinary tract infection (UTI) is most common during pregnancy, prevalence and incidences being higher than in non-pregnant and elderly women. Inadequate data and information deter UTI prevention and management.Methods: The study targeted UTI positive gravid women seeking antenatal services at Kanyakine hospital. The study assessed history of UTI, lifestyle and hygiene factors. Laboratory test and analysis were conducted on urine specimen collected from 135 randomly sampled study subjects. A semi-structured questionnaire was administered to the sampled subjects and their urine tested to detect presence of microorganisms. The results were analysed using established quantitative methods.Results: Most (47%) of the respondents were Escherichia coli infected while Staphylococcus aureus was detected in 20%. of respondents. Increased rate of sexual intercourse was linked to detection of Escherichia coli in 47.6%, Klebsiella pneumoniae in 40% and yeast (Candida) in 47.4%. Wearing non-cotton undergarment was attributed to detection of E. coli in 68.3%, yeast (63.2%) and Klebsiella pneumoniae (60%) of the respondents. Reduced frequency of changing undergarment led to detection of high pathogen levels. The mode of wiping and type of toilet significantly influenced infection (p˂0.05).Conclusions: Hygiene factors that increases chances of E. coli infection remains among the most significant cause of UTI in gravid mothers. This study recommends integration of an elaborate awareness creation on UTI prevention measures at the early stages of pregnancy and further studies to determine the national UTI burden to device mitigation strategies.

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Potential host-related risk factors for recurrent urinary tract infection in Saudi women of childbearing age

Cited by 10 publications

References 26 publications

Association Between Sexual and Genital Hygiene Habits With the Urinary Tract Infection During Pregnancy: A Case-Control Study

Association Between Sexual and Genital Hygiene Habits With the Urinary Tract Infection During Pregnancy: A Case-Control Study

Prevalence of pelvic floor disorders in the Eastern Mediterranean region

Nexus of urinary tract infection prevalence of the causal organism and predisposing factors in Kanyakine Hospital, Meru, Kenya

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