PD01-01 PREVALENCE OF URINARY TRACT INFECTIONS IN WOMEN WITH INTERSTITIAL CYSTITIS

Abstract

You have accessJournal of UrologyInfections/Inflammation/Cystic Disease of the Genitourinary Tract: Interstitial Cystitis (PD01)1 Sep 2021PD01-01 PREVALENCE OF URINARY TRACT INFECTIONS IN WOMEN WITH INTERSTITIAL CYSTITIS Kyle Smith-Honore, Alexandra Dubinskaya, Catherine Bresee, Kai Dallas, Kamil Barbour, Jayoung Kim, Stephen Freedland, and Jennifer Anger Kyle Smith-HonoreKyle Smith-Honore More articles by this author , Alexandra DubinskayaAlexandra Dubinskaya More articles by this author , Catherine BreseeCatherine Bresee More articles by this author , Kai DallasKai Dallas More articles by this author , Kamil BarbourKamil Barbour More articles by this author , Jayoung KimJayoung Kim More articles by this author , Stephen FreedlandStephen Freedland More articles by this author , and Jennifer AngerJennifer Anger More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000001965.01AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Flares, or the sudden increase in symptoms, are common in patient with interstitial cystitis/bladder pain syndrome (IC/BSP). Symptoms flares often have a clinical presentation similar to urinary tract infections (UTI), with pain, frequency and urgency. However, the prevalence of culture-proven UTIs that occur in women with an IC/BPS diagnosis is not well established. METHODS: This is a retrospective study of all women carrying an ICD-9/10 code for IC/BPS (595.1/N30.10) in the VA system between October 2004–July 2016 who presented to the clinic at least once with concern for IC/BPS symptom exacerbation. Female patients older than 18 years of age were identified as having IC/BPS if they had a diagnosis code for IC/BPS. Patient demographics, visit chief complaint, urine culture collection and urine culture positivity were assessed. Associations between the patients presenting symptom, and urine culture testing and results were compared with the chi-square test. RESULTS: Overall, 469 women (1,444 total visits) were identified with 0.8 average visits per year. The most common visit chief complaint was pelvic pain (n=734, 50.8%) (Table 1). A urine culture was more likely to be collected (122 of 200, 61.0%) if dysuria was present as compared to visits were only pelvic pain was present (213 of 734, 29.0%, p<0.001 ) or neither pelvic pain nor dysuria were present (51 of 262, 19.5%, p<0.001). If a culture was sent, a complaint of dysuria only was associated with the highest rate of culture positivity (23 of 122, 18.9%, p=0.001) as compared to all other groups. CONCLUSIONS: Overall, positive cultures in women with IC/BPS flares were relatively low. A positive urine culture was most common in visits where only dysuria was present. This data thus supports carrying a higher index of suspicion of UTI if patients present in this fashion. Source of Funding: CDC © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e30-e30 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Kyle Smith-Honore More articles by this author Alexandra Dubinskaya More articles by this author Catherine Bresee More articles by this author Kai Dallas More articles by this author Kamil Barbour More articles by this author Jayoung Kim More articles by this author Stephen Freedland More articles by this author Jennifer Anger More articles by this author Expand All Advertisement Loading ...