Open AccessAn Interactive Computer Kiosk Module for the Treatment of Recurrent Uncomplicated Cystitis in Women
Author(s) -
Aagaard Eva M.,
Nadler Paul,
Adler Joshua,
Maselli Judith,
Gonzales Ralph
Publication year - 2006
Publication title -
journal of general internal medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.746
H-Index - 180
eISSN - 1525-1497
pISSN - 0884-8734
DOI - 10.1111/j.1525-1497.2006.00575.x
Subject(s) - medicine , confidence interval , chills , urinary system , physical therapy
OBJECTIVE: To validate and implement a computer module for the management of uncomplicated urinary tract infections (UTI). PARTICIPANTS: Women age 18 to 64 years, with a previous UTI, voiding symptoms, and absence of complicating features (comorbidities, vaginal discharge, back pain, emesis, and fever/chills). MEASUREMENTS: The computer module was validated against clinician diagnosis and urine culture. Following validation, the module was implemented in the urgent care clinic as a management option for women with suspected UTI; computer‐directed therapy (CDT)‐eligible women received antibiotic treatment without a clinician examination. Patient satisfaction with the module and return visits for UTI‐related complaints were assessed. RESULTS: In the validation study, 18 of 68 women (26%) were CDT‐eligible. Clinicians diagnosed 17/18 CDT‐eligible women with uncomplicated UTI. Sixty‐seven percent of CDT‐eligible women had a positive urine culture. Since implementation, 162 women have accessed the module, and 35% have received CDT. Ninety‐eight percent (95% confidence interval: 95% to 100%) found the program easy to use and 95% (89% to 100%) would recommend it to friends/family. Two (4%) CDT‐treated women had a return visit to our institution for a UTI‐related illness within 2 weeks. CONCLUSIONS: A computer module accurately identifies women with culture‐confirmed, uncomplicated UTIs. Patients are highly satisfied with the module.