Document Detail

Hydration monitoring in the prevention of recurrent idiopathic urinary tract infections in pre-menopausal women.
MedLine Citation:
PMID:  7648069     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To assess whether the use of simple hydration monitoring can encourage adequate hydration and reduce urinary osmolality and the incidence of urinary tract infections (UTIs) in a population of susceptible pre-menopausal women with recurrent idiopathic urinary infections. SUBJECTS AND METHODS: The study included 28 pre-menopausal women who had at least two idiopathic UTIs in the previous 6 months. Urinary osmolality was assessed by the patients at each void by a simple hand-held probe, and the readings over 4 months compared. Monthly urine culture was compared between successive 4-month periods in which the probe was or was not used. RESULTS: The study was completed by 17 women. There was a significant shift towards urine of lower osmolality over the 4-month period using the probe (Pearson's chi 2 < 0.001). Significantly fewer urinary tract infections developed during the 4 months using the probe (McNemar's chi 2 = 0.046). CONCLUSIONS: The use of the osmolality probe encouraged the subject to maintain adequate hydration. The resulting augmentation of the natural urethral 'washout' mechanism led to lower osmolality urine and a reduction in the incidence of UTIs.
S D Eckford; D P Keane; E Lamond; S R Jackson; P Abrams
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  British journal of urology     Volume:  76     ISSN:  0007-1331     ISO Abbreviation:  Br J Urol     Publication Date:  1995 Jul 
Date Detail:
Created Date:  1995-09-28     Completed Date:  1995-09-28     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  15740090R     Medline TA:  Br J Urol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  90-3     Citation Subset:  IM    
Bristol Urological Institute, Southmead Hospital, Bristol, UK.
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MeSH Terms
Monitoring, Ambulatory / methods
Osmolar Concentration
Reagent Strips / diagnostic use*
Specific Gravity
Urinary Tract Infections / diagnosis,  prevention & control*
Reg. No./Substance:
0/Reagent Strips

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