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Risk Factors for Recurrent Urinary Tract Infection in Young Women
To define host factors associated with an increased risk of recurrent urinary tract infection (RUTI), a case-control study was conducted in 2 populations: university women and health maintenance organization enrollees. Case patients were 229 women 18–30 years old with RUTIs; control subjects were 25...
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| Published in: | The Journal of infectious diseases 2000-10, Vol.182 (4), p.1177-1182 |
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| Main Authors: | , , , , , |
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| container_end_page | 1182 |
| container_issue | 4 |
| container_start_page | 1177 |
| container_title | The Journal of infectious diseases |
| container_volume | 182 |
| creator | Scholes, Delia Hooton, Thomas M. Roberts, Pacita L. Stapleton, Ann E. Gupta, Kalpana Stamm, Walter E. |
| description | To define host factors associated with an increased risk of recurrent urinary tract infection (RUTI), a case-control study was conducted in 2 populations: university women and health maintenance organization enrollees. Case patients were 229 women 18–30 years old with RUTIs; control subjects were 253 randomly selected women with no RUTI history. In a multivariate model, independent risk factors for RUTI included recent 1-month intercourse frequency (odds ratio [OR], 5.8; 95% confidence interval [CI], 3.1–10.6 for 4–8 episodes), 12-month spermicide use (OR, 1.8; 95% CI, 1.1–2.9), and new sex partner during the past year (OR, 1.9; 95% CI, 1.2–3.2). Two newly identified risk factors were age at first urinary tract infection (UTI) ⩽15 years (OR, 3.9; 95% CI, 1.9–8.0) and UTI history in the mother (OR, 2.3; 95% CI, 1.5–3.7). Blood group and secretor phenotype were not associated with RUTI. In young women, risk factors for sporadic UTI are also risk factors for recurrence. Two predictors suggest that genetic/long-term environmental exposures also predispose to RUTI. |
| doi_str_mv | 10.1086/315827 |
| format | article |
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Case patients were 229 women 18–30 years old with RUTIs; control subjects were 253 randomly selected women with no RUTI history. In a multivariate model, independent risk factors for RUTI included recent 1-month intercourse frequency (odds ratio [OR], 5.8; 95% confidence interval [CI], 3.1–10.6 for 4–8 episodes), 12-month spermicide use (OR, 1.8; 95% CI, 1.1–2.9), and new sex partner during the past year (OR, 1.9; 95% CI, 1.2–3.2). Two newly identified risk factors were age at first urinary tract infection (UTI) ⩽15 years (OR, 3.9; 95% CI, 1.9–8.0) and UTI history in the mother (OR, 2.3; 95% CI, 1.5–3.7). Blood group and secretor phenotype were not associated with RUTI. In young women, risk factors for sporadic UTI are also risk factors for recurrence. 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Case patients were 229 women 18–30 years old with RUTIs; control subjects were 253 randomly selected women with no RUTI history. In a multivariate model, independent risk factors for RUTI included recent 1-month intercourse frequency (odds ratio [OR], 5.8; 95% confidence interval [CI], 3.1–10.6 for 4–8 episodes), 12-month spermicide use (OR, 1.8; 95% CI, 1.1–2.9), and new sex partner during the past year (OR, 1.9; 95% CI, 1.2–3.2). Two newly identified risk factors were age at first urinary tract infection (UTI) ⩽15 years (OR, 3.9; 95% CI, 1.9–8.0) and UTI history in the mother (OR, 2.3; 95% CI, 1.5–3.7). Blood group and secretor phenotype were not associated with RUTI. In young women, risk factors for sporadic UTI are also risk factors for recurrence. Two predictors suggest that genetic/long-term environmental exposures also predispose to RUTI.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age of Onset</subject><subject>Bacterial diseases</subject><subject>Bacterial diseases of the urinary system</subject><subject>Biological and medical sciences</subject><subject>Case-Control Studies</subject><subject>Community Health Services</subject><subject>Continental Population Groups</subject><subject>Contraceptive Agents</subject><subject>Ethnic Groups</subject><subject>Female</subject><subject>Health Maintenance Organizations</subject><subject>Human bacterial diseases</subject><subject>Human sexual behavior</subject><subject>Humans</subject><subject>Infections</subject><subject>Infectious diseases</subject><subject>Major Articles</subject><subject>Medical sciences</subject><subject>Mothers</subject><subject>Odds Ratio</subject><subject>Patient medical history</subject><subject>Predisposing factors</subject><subject>Recurrence</subject><subject>Risk Factors</subject><subject>Sexual Behavior</subject><subject>Spermicides</subject><subject>Universities</subject><subject>Urinary tract infections</subject><subject>Urinary Tract Infections - epidemiology</subject><subject>Urinary Tract Infections - physiopathology</subject><subject>Washington - epidemiology</subject><subject>Women</subject><issn>0022-1899</issn><issn>1537-6613</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><recordid>eNpdkF1rFDEUhoModq36D5Sg4N3oyfecy1LdtlAQSotrb0KaTWS2u0mbzID-eyOzrGJuDuF5eDnnJeQ1g48Mev1JMNVz84QsmBKm05qJp2QBwHnHesQj8qLWDQBIoc1zcsQADSJTC3JyNdR7unR-zKXSmAu9Cn4qJaSR3pQhufKLXpeG6UWKwY9DTnRI9Hue0g_6Le9CekmeRbet4dV-HpOb5Zfr0_Pu8uvZxenJZecl52OnXXASwGiIDGSI696g4r69KKMUa8RgAosgetU74Rk6NBEkujsv2mctjsmHOfeh5Mcp1NHuhurDdutSyFO1hnMFErCJ7_4TN3kqqe1mORfIOCr8m-ZLrrWEaB_KsGvXWgb2T6N2brSJb_dp090urP_R5gqb8H4vuOrdNhaX_FAPHhoArZv1ZrY2tTV9oAIYA0DZeDfzoY7h54G7cm-1EUbZ89WtXZ19voXVUlkUvwHNUJNL</recordid><startdate>20001001</startdate><enddate>20001001</enddate><creator>Scholes, Delia</creator><creator>Hooton, Thomas M.</creator><creator>Roberts, Pacita L.</creator><creator>Stapleton, Ann E.</creator><creator>Gupta, Kalpana</creator><creator>Stamm, Walter E.</creator><general>The University of Chicago Press</general><general>University of Chicago Press</general><general>Oxford University Press</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20001001</creationdate><title>Risk Factors for Recurrent Urinary Tract Infection in Young Women</title><author>Scholes, Delia ; Hooton, Thomas M. ; Roberts, Pacita L. ; Stapleton, Ann E. ; Gupta, Kalpana ; Stamm, Walter E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c422t-6aea400760f104efd87952ccccf4f43d99e7e1f03858a3c19a97f049abc319ad3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age of Onset</topic><topic>Bacterial diseases</topic><topic>Bacterial diseases of the urinary system</topic><topic>Biological and medical sciences</topic><topic>Case-Control Studies</topic><topic>Community Health Services</topic><topic>Continental Population Groups</topic><topic>Contraceptive Agents</topic><topic>Ethnic Groups</topic><topic>Female</topic><topic>Health Maintenance Organizations</topic><topic>Human bacterial diseases</topic><topic>Human sexual behavior</topic><topic>Humans</topic><topic>Infections</topic><topic>Infectious diseases</topic><topic>Major Articles</topic><topic>Medical sciences</topic><topic>Mothers</topic><topic>Odds Ratio</topic><topic>Patient medical history</topic><topic>Predisposing factors</topic><topic>Recurrence</topic><topic>Risk Factors</topic><topic>Sexual Behavior</topic><topic>Spermicides</topic><topic>Universities</topic><topic>Urinary tract infections</topic><topic>Urinary Tract Infections - epidemiology</topic><topic>Urinary Tract Infections - physiopathology</topic><topic>Washington - epidemiology</topic><topic>Women</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Scholes, Delia</creatorcontrib><creatorcontrib>Hooton, Thomas M.</creatorcontrib><creatorcontrib>Roberts, Pacita L.</creatorcontrib><creatorcontrib>Stapleton, Ann E.</creatorcontrib><creatorcontrib>Gupta, Kalpana</creatorcontrib><creatorcontrib>Stamm, Walter E.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of infectious diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Scholes, Delia</au><au>Hooton, Thomas M.</au><au>Roberts, Pacita L.</au><au>Stapleton, Ann E.</au><au>Gupta, Kalpana</au><au>Stamm, Walter E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk Factors for Recurrent Urinary Tract Infection in Young Women</atitle><jtitle>The Journal of infectious diseases</jtitle><addtitle>The Journal of Infectious Diseases</addtitle><date>2000-10-01</date><risdate>2000</risdate><volume>182</volume><issue>4</issue><spage>1177</spage><epage>1182</epage><pages>1177-1182</pages><issn>0022-1899</issn><eissn>1537-6613</eissn><coden>JIDIAQ</coden><notes>istex:C0A35395AC4C6345A9D0B84D9436B059AED71025</notes><notes>ark:/67375/HXZ-XGDZ0XF5-9</notes><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>To define host factors associated with an increased risk of recurrent urinary tract infection (RUTI), a case-control study was conducted in 2 populations: university women and health maintenance organization enrollees. Case patients were 229 women 18–30 years old with RUTIs; control subjects were 253 randomly selected women with no RUTI history. In a multivariate model, independent risk factors for RUTI included recent 1-month intercourse frequency (odds ratio [OR], 5.8; 95% confidence interval [CI], 3.1–10.6 for 4–8 episodes), 12-month spermicide use (OR, 1.8; 95% CI, 1.1–2.9), and new sex partner during the past year (OR, 1.9; 95% CI, 1.2–3.2). Two newly identified risk factors were age at first urinary tract infection (UTI) ⩽15 years (OR, 3.9; 95% CI, 1.9–8.0) and UTI history in the mother (OR, 2.3; 95% CI, 1.5–3.7). Blood group and secretor phenotype were not associated with RUTI. In young women, risk factors for sporadic UTI are also risk factors for recurrence. Two predictors suggest that genetic/long-term environmental exposures also predispose to RUTI.</abstract><cop>Chicago, IL</cop><pub>The University of Chicago Press</pub><pmid>10979915</pmid><doi>10.1086/315827</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0022-1899 |
| ispartof | The Journal of infectious diseases, 2000-10, Vol.182 (4), p.1177-1182 |
| issn | 0022-1899 1537-6613 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_72250409 |
| source | Oxford University Press Journals All Titles (1996-Current); JSTOR Archival Journals and Primary Sources Collection |
| subjects | Adolescent Adult Age of Onset Bacterial diseases Bacterial diseases of the urinary system Biological and medical sciences Case-Control Studies Community Health Services Continental Population Groups Contraceptive Agents Ethnic Groups Female Health Maintenance Organizations Human bacterial diseases Human sexual behavior Humans Infections Infectious diseases Major Articles Medical sciences Mothers Odds Ratio Patient medical history Predisposing factors Recurrence Risk Factors Sexual Behavior Spermicides Universities Urinary tract infections Urinary Tract Infections - epidemiology Urinary Tract Infections - physiopathology Washington - epidemiology Women |
| title | Risk Factors for Recurrent Urinary Tract Infection in Young Women |
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