The DOI matches its Crossref record; 28 of the 28 references it cites were found in a registry or an index.
Recurrence of Urinary Tract Infection in a Primary Care Setting: Analysis of a I-Year Follow-up of 179 Women
Abstract
In a prospective study, 179 adult women (age range, 17-82 years) were followed up for 12 months after an index episode of community-acquired cystitis caused by Escherichia coli. Episodes of symptomatic urinary tract infection (UTI) were recorded, and urinary isolates were compared with the index episode isolate; 147 UTI episodes were detected during the follow-up. Of these episodes, 131 were classified as recurrences occurring at least 1 month after the index episode; 44% of the patients had recurrences. A history of UTI increased the risk of recurrence; only 11.8% of the 17 patients without previous episodes of UTI had at least one recurrence, while 47.5% of those with previous episodes had at least one recurrence (OR, 6.8; univariate logistic regression). E. coli caused 78% of the recurrent episodes. Phenotypic and genotypic analysis of E. coli strains showed that one-third of the recurrences were caused by the index episode strain, which could persist and cause recurrences throughout the 1-year follow-up period. The prevalence of adhesins or other identified virulence factors for UTI among the recurrence strains was identical to that among the index episode strains. The presence of these factors did not affect the risk of recurrence but did increase the likelihood that the index episode strain would persist and cause recurrent episodes of UTI.
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Citations
Cites
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OCCURRENCE OF P-FIMBRIATED ESCHERICHIA COLI IN URINARY TRACT INFECTIONS
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P-fimbriated clones among uropathogenic Escherichia coli strains
Väisänen-Rhen, V, Elo, J., Väisänen, E., Siitonen, A., Orskov, I., Orskov, F., Svenson, S. B., Mäkelä, P. H., & Korhonen, T. K. (1984) · Infection and Immunity · doi:10.1128/iai.43.1.149-155.1984 · Cited by 265
Self-citationRecurrent urinary infections in adult women. The role of introital enterobacteria.
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Cited by
Epidemiology of urinary tract infections: incidence, morbidity, and economic costs
Foxman, B. (2002) · The American Journal of Medicine · doi:10.1016/s0002-9343(02)01054-9 · Cited by 1,898
Foxman, B., Barlow, R., D'Arcy, H., Gillespie, B., & Sobel, J. D. (2000) · Annals of Epidemiology · doi:10.1016/s1047-2797(00)00072-7 · Cited by 1,447
Mulvey, M. A., Schilling, J. D., & Hultgren, S. J. (2001) · Infection and Immunity · doi:10.1128/iai.69.7.4572-4579.2001 · Cited by 849
Detection of Intracellular Bacterial Communities in Human Urinary Tract Infection
Rosen, D. A., Hooton, T. M., Stamm, W. E., Humphrey, P. A., & Hultgren, S. J. (2007) · PLoS Medicine · doi:10.1371/journal.pmed.0040329 · Cited by 651
“Women have a 25% chance of experiencing a recurrent UTI within six months [9] of an index episode and a 44% chance of recurrence within one year [10] despite appropriate therapy of the initial infection and negative follow-up urine cultures.”
Mechanisms of uropathogenic Escherichia coli persistence and eradication from the urinary tract
Mysorekar, I. U., & Hultgren, S. J. (2006) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0602136103 · Cited by 512
Metadata
- Authors
- Ikahelmo, R., Siitonen, A., Heiskanen, T., Karkkainen, U., Kuosmanen, P., Lipponen, P., & Makela, P. H.
- Venue
- Clinical Infectious Diseases
- Publisher
- Oxford University Press (OUP)
- Published
- 1996-01-01
- Volume
- 22
- Issue
- 1
- Pages
- 91-99
- ISSN
- 1058-4838 (ISSN-L)
- 1537-6591
- OpenAlex
- W2001346590
- Cited by
- 364
- References
- 28
- FWCI
- 2.33
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: Recurrence of Urinary Tract Infection in a Primary Care Setting: Analysis of a I-Year Follow-up of 179 Women. https://app.cochat.ai/papers/10.1093/clinids/22.1.91
- The paper
- Ikahelmo, R., Siitonen, A., Heiskanen, T., Karkkainen, U., Kuosmanen, P., Lipponen, P., & Makela, P. H. (1996). Recurrence of Urinary Tract Infection in a Primary Care Setting: Analysis of a I-Year Follow-up of 179 Women. Clinical Infectious Diseases. https://doi.org/10.1093/clinids/22.1.91
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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
