Resumen
Objetivo: Evaluar el impacto de las infecciones recurrentes del tracto urinario en la calidad de vida de las mujeres con infecciones recurrentes en atención ambulatoria. Método: Estudio observacional, descriptivo y analítico realizado con 98 mujeres atendidas en un consultorio externo de un hospital público de enseñanza de la ciudad de Niterói, Río de Janeiro, Brasil, comprendiendo 49 mujeres con infecciones urinarias recurrentes confirmadas por urocultivo sin complicaciones y 49 mujeres sin infecciones urinarias recurrentes, emparejadas por edad. La calidad de vida se evaluó mediante la versión brasileña del cuestionario abreviado de la Organización Mundial de la Salud, el WHOQOL-Bref. Resultados: Las mujeres con infecciones del tracto urinario mostraron mayor deterioro de la calidad de vida en los dominios físico (p = 0,007) y psicológico (p = 0,038), y mostraron menores puntuaciones de calidad de vida en la autoevaluación (p = 0,002) en comparación con el grupo de control. Las mujeres con infección urinaria recurrente mostraron puntuaciones medias significativamente más bajas que el grupo de control en las facetas Energía y fatiga (p = 0,003), Sentimientos positivos (p = 0,014), Autoestima (p = 0,040), Dependencia de la medicación (p = 0,029), Sentimientos negativos (p = 0,023) y Ocio y tiempo libre (p = 0,041). Conclusión: Las infecciones urinarias recurrentes afectan a la calidad de vida de las mujeres, especialmente en los ámbitos físico y psicológico, lo que representa un problema importante para las mujeres, los profesionales sanitarios y el sistema de salud.
Citas
Al Demour, S., & Ababneh, M. A. (2018). Evaluation of Behavioral and Susceptibility Patterns in Premenopausal Women with Recurrent Urinary Tract Infections: A Case Control Study. Urologia Internationalis, 100, 31-36. https://doi.org/10.1159/000485568
Aydin, A., Ahmed, K., Zaman, I., Khan, M. S., & Dasgupta, P. (2015). Recurrent urinary tract infections in women. International Urogynecology Journal, 26(6), 795-804. https://doi.org/10.1007/s00192-014-2569-5
Bermingham, S. L., & Ashe, J. L. (2012). Systematic review of the impact of urinary tract infections on health-related quality of life. BJU International, 110(11 Pt C), E830-6. http://dx.doi.org/10.1111/j.1464-410X.2012.11337.x
Carvalho, T. M., Lourenção, L. G., Pinto, M. H., Viana, R. A. P. P., Moreira, A. M. B. S. G., Mello, L. P., Medeiros, G. G., & Gomes, A. M. F. (2023). Quality of life and work engagement among nursing staff at the start of the COVID-19 pandemic. Ciência & Saúde Coletiva, 28(10), 2903-2913. https://doi.org/10.1590/1413-812320232810.09982023
Cordioli Junior, J. R., Cordioli, D. F. C., Gazetta, C. E., Silva, A. G., & Lourenção, L. G. (2020). Quality of life and osteomuscular symptoms in workers of primary health care. Revista Brasileira de Enfermagem, 73(5), e20190054. http://dx.doi.org/10.1590/0034-7167-2019-0054
Ennis, S. S., Guo, H., Raman, L., Tambyah, P. A., Chen, S. L., & Tion, H. Y. (2018). Premenopausal women with recurrent urinary tract infections havelower quality of life. International Journal of Urology, 25(7), 684-689. https://doi.org/10.1111/iju.13698
Faria, C. A., Lourenção, L. G., Quintanilha, D. O., Vieira, M. S., Andrade, P. F. L. &, Carraro-Eduardo, J. C. (2018). Quality of life in women with recurrent urinary tract infections in an outpatient care. Fisioterapia Brasil, 19(3), 329-336. http://www.portalatlanticaeditora.com.br/index.php/fisioterapiabrasil/article/view/2064
Flores-Mireles, A. L., Walker, J. N., Caparon, M., & Hultgren, S. J. (2015). Urinary tract infections: Epidemiology, mechanisms of infection and treatment options. Nature Reviews Microbiology, 13, 269-284. https://doi.org/10.1038/nrmicro3432
Grigoryan, L., Mulgirigama, A., Powell, M., & Schmiemann, G. (2022). The emotional impact of urinary tract infections in women: a qualitative analysis. BMC Women's Health, 22, 182. https://doi.org/10.1186/s12905-022-01757-3
Haddad, J. M., Ubertazzi, E., Cabrera, O. S., Medina, M., Garcia, J., Rodriguez-Colorado, S. et al. (2020). Latin American consensus on uncomplicated recurrent urinary tract infection -2018. International Urogynecology Journal, 31, 35-44. https://doi.org/10.1007/s00192-019-04079-5
Izett-Kay, M., Barker, K. L., McNiven, A., & Toye, F. (2022). Experiences of urinary tract infection: A systematic review and meta-ethnography. Neurourology and Urodynamics, 41(3), 724-739. https://doi.org/10.1002/nau.24884
Keren, R., Shaikh, N., Pohl, H., Gravens-Mueller, L., Ivanova, A., Zaoutis, L., Patel, M., deBerardinis, R., Parker, A., Bhatnagar, S., Haralam, M. A., Pope, M., Kearney, D., Sprague, B., Barrera, R., Viteri, B., Egigueron, M., Shah, N., & Hoberman, A. (2015). Risk Factors for Recurrent Urinary Tract Infection and Renal Scarring. Pediatrics, 136(1), e13. https://doi.org/10.1542/peds.2015-0409
Malik, R. D., Wu, Y., & Zimmern, P. E. (2018). Definition of Recurrent Urinary Tract Infections in Women: Which One to Adopt?. Female Pelvic Medicine & Reconstructive Surgery, 24(6), 424-429. https://doi.org/10.1097/SPV.0000000000000509
McLellan, L. K., & Hunstad, D. A. (2016). Urinary tract infection: pathogenesis and outlook. Trends in Molecular Medicine, 22(11), 946-957. https://doi.org/10.1016/j.molmed.2016.09.003
Medina, M., & Castillo-Pino, E. (2019). An Introduction to the Epidemiology and Burden of Urinary Tract Infections. Therapeutic Advances in Urology, 11, 3-7. https://doi.org/10.1177/1756287219832172
Moreira, A. C., Lourenção, L. G., Sassaki, N. S. G. M. S., Gazetta, C. E., Vendramini, S. H. F., & Santos, M. L. S. G. (2016). Mortality risk associated with blood sugar levels in patients with septicemia in Intensive Care. Rev Rene, 17(3), 324-329. http://dx.doi.org/10.15253/2175-6783.2016000300004
Moskowitz, D., & Lee, U. (2018). Patient Distress in Women with Recurrent Urinary Tract Infections: How Can Physicians Better Meet Patients Needs?. Current Urology Reports, 19, 97. https://doi.org/10.1007/s11934-018-0849-1
Naber, K. G., Tirán-Saucedo, T., Wagenlehner, F. M. E., & RECAP group. (2022). Psychosocial burden of recurrent uncomplicated urinary tract infections. GMS infectious diseases, 10, Doc01. https://doi.org/10.3205/id000078
Renard, J., Ballarini, S., Mascarenhas, T., Zahran, M., Quimper, E., Choucair, J., et al. (2015). Recurrent Lower Urinary Tract Infections Have a Detrimental Effect on Patient Quality of Life: a Prospective, Observational Study. Infectious Diseases and Therapy, 4(1), 125-135. https://doi.org/10.1007/s40121-014-0054-6
Scott, V. C. S., Thum, L. W., Sadun, T., Markowitz, M., Maliski, S. L., Ackerman, A. L., Anger, J. T., & Kim J. (2021). Fear and Frustration among Women with Recurrent Urinary Tract Infections: Findings from Patient Focus Groups. The Journal of Urology, 206(3), 688-695. https://doi.org/10.1097/JU.0000000000001843
Seshan, V., & Muliira, J. K. (2014). Dimensions of the impact of urinary incontinence on quality of life of affected women: a review of the English literature. International Journal of Urology Nursing, 8(2), 62-70. https://doi.org/10.1111/ijun.12034
Sosland, R., & Stewart, J. N. (2021). Management of Recurrent Urinary Tract Infections in Women: How Providers Can Improve the Patient Experience. Urology, 151, 8-12. https://doi.org/10.1016/j.urology.2020.06.059
Vahlensieck, W., Perepanova, T., Bjerklund Johansen, T. E., Tenke, P., Naber, K. G., & Wagenlehner, F. M. E. (2016). Management of Uncomplicated Recurrent Urinary Tract Infections. European Urology Supplements, 15(4), 95-101. https://doi.org/10.1016/j.eursup.2016.04.007
Wagenlehner, F., Wullt, B., Ballarini, S., Zingg, D., & Naber, K. G. (2018). Social and economic burden of recurrent urinary tract infections and quality of life: a patient web-based study (GESPRIT). Expert Review of Pharmacoeconomics & Outcomes Research, 18(1), 107-117. https://doi.org/10.1080/14737167.2017.1359543
World Health Organization. Quality of Life BREF - WHOQOL-BREF. In Preedy, V. R., & Watson, R. R. (eds). (2010). Handbook of Disease Burdens and Quality of Life Measures. Springer. https://doi.org/10.1007/978-0-387-78665-0_6927
Yang, B., & Foley, S. (2018). First experience in the UK of treating women with recurrent urinary tract infections with the bacterial vaccine Uromune®. BJU International, 121(2), 289-292. https://doi.org/10.1111/bju.14067
Comentarios
Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-CompartirIgual 4.0.