Epidemiology of acute cystitis: the first Russian multicenter study

Abstract number: r2100

Rafalskiy  V., Romanenkova  O., Sudilovskaya  N., Chemesov  S., Emelyanova  L., Asisov  I.

Objectives: 

To evaluate prevalence of AC among young women in Russia and their behaviour when AC episode appeared.

Methods: 

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.

Results: 

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, 4–6 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%– 3–5 days, in 9.5%– 5–7 days, in 4%– 7–10 days, in 8%– 10–14 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 1–3 days, 6.3%– during 3–5 days, 6.3%– during 5–7 days, 1.6%– during 7–10 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.

Conclusion: 

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.