Aldabeeb Dana, Alenzi Ebtihag O, Alhaizan Maysoon, Alkhattabi Mashael, Barry Mazin, Alalshaikh Nouf Khalid, Temsah Mohamad-Hani, Al-Tawfiq Jaffar A, Alshaikh Ghadeer
Department of Obstetrics and Gynecology, King Saud University, Riyadh, 11587, Saudi Arabia.
Family and Community Medicine Department, College of Medicine, Princess Nourah bint Abdulrahman University 11671, Riyadh, Saudi Arabia.
Int J Gen Med. 2024 Aug 14;17:3521-3530. doi: 10.2147/IJGM.S469821. eCollection 2024.
Recurrent urinary tract infections (rUTIs) are common complaints that burden the healthcare system. Reporting perceived knowledge and guidelines in concordance regarding the management of (rUTI) is essential for providing better healthcare and higher treatment rate. This study assesses the perceived knowledge, guidelines concordance, and physicians' practices toward treatment of (rUTI) among physicians with different specialties.
This questionnaire-based survey included residents, fellows, and consultants of various specialties across several regions in Saudi Arabia.
A total of 419 physicians were included in the final analysis. In terms of age distribution, the majority were 28-38 years of age (159, 37.9%), followed by 18-28 years (99, 23.6%). Gender distribution was nearly balanced. The sample included a significant number of residents (182, 43.4%), consultants (173, 41.3%), and fellows (64, 15.3%). OBS/GYNE shows a significant presence of females (40.6%) and is notably represented in private hospitals or clinics (52.5%) and among fellows (40.6%) and consultants (32.4%). Infectious disease physicians had the highest perceived knowledge scores (3.83 ± 0.09), followed closely by urologists/urogynecologists (3.67 ± 0.48). Urologists/urogynecologists also reported the highest satisfaction (4.24 ± 0.83) and familiarity (2.89 ± 1.11) with new rUTI guidelines. Infectious disease physicians were most confident (3.50 ± 0.71) in communicating with patients about rUTI treatment options. In terms of practices and guideline adherence, obstetricians/gynaecologists were more likely to repeat urine sample tests for suspected contamination (3.73 ± 1.00) and less likely to treat asymptomatic bacteriuria (1.33 ± 0.59) the same as UTIs compared to other physicians. They also scored highest in conducting post-treatment tests for asymptomatic patients (3.21 ± 1.37) and recommending vaginal estrogen therapy for peri- and post-menopausal women to prevent UTIs (3.59 ± 1.06) among all specialties. Conversely, urologists and urogynecologists were more likely to discuss antibiotic prophylaxis (3.79 ± 0.89) and cranberry prophylaxis (3.71 ± 0.73) with their rUTI patients.
The findings highlight variations in knowledge, satisfaction, familiarity with guidelines, confidence in communication, and guideline concordance among different physician specialities regarding the management of UTIs and rUTIs.
复发性尿路感染（rUTIs）是常见的病症，给医疗系统带来负担。报告关于rUTIs管理的认知知识和指南一致性对于提供更好的医疗服务和更高的治疗率至关重要。本研究评估不同专业医生对rUTIs治疗的认知知识、指南一致性及实践情况。
这项基于问卷的调查纳入了沙特阿拉伯多个地区不同专业的住院医师、研究员和顾问。
共有419名医生纳入最终分析。在年龄分布方面，大多数为28 - 38岁（159人，37.9%），其次是18 - 28岁（99人，23.6%）。性别分布接近平衡。样本中包括大量住院医师（182人，43.4%）、顾问（173人，41.3%）和研究员（64人，15.3%）。妇产科显著女性占比高（40.6%），在私立医院或诊所（52.5%）以及研究员（40.6%）和顾问（32.4%）中占比显著。传染病科医生的认知知识得分最高（3.83±0.09），紧随其后的是泌尿科医生/泌尿妇科医生（3.67±0.48）。泌尿科医生/泌尿妇科医生对新的rUTI指南的满意度（4.24±0.83）和熟悉度（2.89±1.11）也最高。传染病科医生在与患者沟通rUTI治疗方案方面最有信心（3.50±0.71）。在实践和指南遵循方面，与其他医生相比，妇产科医生更有可能对疑似污染的尿液样本进行重复检测（3.73±1.00），而治疗无症状菌尿的可能性较小（1.33±0.59）。在对无症状患者进行治疗后检测（3.21±1.37）以及为围绝经期和绝经后女性推荐阴道雌激素疗法以预防UTIs（3.59±1.06）方面，他们在所有专业中得分也最高。相反，泌尿科医生和泌尿妇科医生更有可能与rUTI患者讨论抗生素预防（3.79±0.89）和蔓越莓预防（3.71±0.73）。
研究结果突出了不同医生专业在UTIs和rUTIs管理方面的知识、满意度、对指南的熟悉度、沟通信心以及指南一致性方面的差异。
