Epidemiology of acute cystitis: the first Russian multicenter study
Abstract number: r2100
Rafalskiy V., Romanenkova O., Sudilovskaya N., Chemesov S., Emelyanova L., Asisov I.
To evaluate prevalence of AC among young women in Russia and their behaviour when AC episode appeared.
Questionnaire design study was carried out among students in three Russian and one Kazakhstan cities Smolensk, Krasnoyarsk, Yekaterinburg, Karaganda. Questionnaire contained 19 questions concerning frequency of AC onset during the last year, data about AC relapsing, sexual activity, visits to a physician for AC management, possible self-treatment of AC, concomitant diseases and family history of UTI.
660 females (mean age 19.2 ± 4.3, median 18.0 years) were included in the study. Symptoms of AC noted 126 responders (19%), mean age of respondents with symptoms of AC was 20.9 ± 5.5, median 19.0 years. Among women with AC history 32.5% had 1 episode of AC during the year, 15.9% 2 episodes, 8.7% 3 episodes, 46 episodes had 4.8%, more than 6 episodes 4.8% of respondents. Duration of AC signs in 50.8% of respondents was 1 to 3 days, in 23% 35 days, in 9.5% 57 days, in 4% 710 days, in 8% 1014 days. Among women with AC 44% did not miss their studies or work when AC appeared, 17.5% could not attend studies or work during 13 days, 6.3% during 35 days, 6.3% during 57 days, 1.6% during 710 days, >10 days 2.4% of respondents (fig 1). Family history of UTI was noted in 46% women with AC and only in 17.9% of respondents, who had never suffered from AC. 35.7% of women with AC had never had sexual intercourse whereas 60.3% of respondents with AC history had sexual activity. Number of intercourse per month during last year were in women with AC history - ≤ 1 in 11.9%, 1 to 5 12.7%, 6 to 10 11.1%, 11 to 20 11.9%, every day 8.7% and in women without AC history: ≤ 1 4.9%, 1 to 5 8.5%, 6 to 10 5.7%, 11 to 20 5.5%, every day in 3.0%. When AC appeared 18.6% of respondents do not seek for medical care, 21.4% were consulted by non physician (relatives, friends, etc.), and only 60% were under appropriate medical care 17.1% were consulted by gynaecologist, 15% by outpatient urologist, 11.4% GP, 4.3% pharmacist, 0.7% nephrologists, 11.4% other physicians.
AC affects 19% of young women in Russia and Kazakhstan and 34.2% of women have relapses observed during the year. Risk factor for development of AC is sexual activity and positive family history of UTI. When AC appeared 18.6% of respondents do not seek for medical care at all, and only 60% are under appropriate medical care.
|Session name:||XXIst ISTH Congress|
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