Department of Urology, Pediatric Urology and Andrology, Justus-Liebig University of Giessen, Rudolph-Buchheim str. 7, 35392, Giessen, Hessen, Germany.
Department of Urology, Tashkent Medical Academy, Tashkent, Uzbekistan.
Int Urogynecol J. 2021 Dec;32(12):3275-3286. doi: 10.1007/s00192-021-04864-1. Epub 2021 Jun 25.
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.
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.
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.
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.
全球社区环境下尿路感染流行情况研究（GPIU.COM）包括德国和瑞士女性急性膀胱炎（AC）的流行病学方面。主要研究涉及德国版急性膀胱炎症状评分（ACSS），这是一种用于自我诊断和监测女性 AC 症状过程的自我报告问卷。本研究旨在分析德国 ACSS 在瑞士讲德语的 AC 女性患者中的有效性和可靠性。
从首次就诊（诊断）和随访的女性 AC 患者中匿名收集和分析患者数据，分别作为基线和对照。对 97 名中位年龄为 41 岁的患者进行了数据分析。对 ACSS 的心理测量和诊断特征进行了测量和统计分析。
ACSS 的平均内部一致性得出 Cronbach's alpha（95%CI）为 0.86（0.83；0.89），在瑞士和德国队列之间没有显著差异。ACSS 对瑞士队列的诊断价值相对较低，这可能是由于国家指南中尿路感染定义的差异所致。
分析表明，德国版的 ACSS 也适用于瑞士讲德语的女性人群。德国和瑞士指南中对 AC 的定义存在细微差异，解释了队列间 ACSS 诊断价值的差异。
