Low correlation between self-report and medical record documentation of urinary tract infection (UTI) symptoms

Echaiz, Jose F.; Cass, Candice; Henderson, Jeffrey P.; Babcock, Hilary M.; Marschall, Jonas

doi:10.1016/j.ajic.2015.04.208

Back to Previous Page

- Add this to...
- Twitter
- Facebook
- Google Bookmarks
- LinkedIn

Low correlation between self-report and medical record documentation of urinary tract infection (UTI) symptoms

Published Date:

Jun 16 2015

Publisher's site:

http://dx.doi.org/10.1016/j.ajic.2015.04.208 New Site Icon

Source:

Am J Infect Control. 43(9):983-986.

[PDF-95.50 KB]

Details:

Personal Authors:

Echaiz, Jose F. ; Cass, Candice ; Henderson, Jeffrey P. ; Babcock, Hilary M. ; Marschall, Jonas ;

Keywords:

[+]

Pubmed ID:

26088770

Pubmed Central ID:

PMC4861684

Description:

Correlations between symptom documentation in medical records and patient self-report (SR) vary depending on the condition studied. Patient symptoms are particularly important in urinary tract infection (UTI) diagnosis, and this correlation for UTI symptoms is currently unknown.|This is a cross-sectional survey study in hospitalized patients with Escherichia coli bacteriuria. Patients were interviewed within 24 hours of diagnosis for the SR of UTI symptoms. We reviewed medical records for UTI symptoms documented by admitting or treating inpatient physicians (IPs), nurses (RNs), and emergency physicians (EPs). The level of agreement between groups was assessed using Cohen κ coefficient.|Out of 43 patients, 34 (79%) self-reported at least 1 of 6 primary symptoms. The most common self-reported symptoms were urinary frequency (53.5%); retention (41.9%); flank pain, suprapubic pain, and fatigue (37.2% each); and dysuria (30.2%). Correlation between SR and medical record documentation was slight to fair (κ, 0.06-0.4 between SR and IPs and 0.09-0.5 between SR and EDs). Positive agreement was highest for dysuria and frequency.|Correlation between self-reported UTI symptoms and health care providers' documentation was low to fair. Because medical records are a vital source of information for clinicians and researchers and symptom assessment and documentation are vital in distinguishing UTI from asymptomatic bacteriuria, efforts must be made to improve documentation.

Document Type:

Journal Article

Collection(s):

CDC Public Access

Funding:

K12 HD001459/HD/NICHD NIH HHS/United States
KL2 RR024994/RR/NCRR NIH HHS/United States
KL2 TR000450/TR/NCATS NIH HHS/United States
R01 DK099534/DK/NIDDK NIH HHS/United States
U54 CK000162/CK/NCEZID CDC HHS/United States
UL1 RR024992/RR/NCRR NIH HHS/United States
UL1 TR000448/TR/NCATS NIH HHS/United States

Supporting Files:

nihms775245.nxml

application/octet-stream

No Related Documents.

You May Also Like:

National Healthcare Safety Network (NHSN) patient safety component manual

Corporate Author:

National Center for Emerging and Zoonotic Infectious Diseases (U.S.), Division of Healthcare Quality Promotion.. National Healthcare Safety Network..

Published:

January 2019

Description:

The NHSN is a secure, Internet-based surveillance system that expands and integrates patient and healthcare personnel safety surveillance systems managed by the Division of Healthcare Quality Promotion (DHQP) at the Centers for Disease Control and Pr...

File Type:

[PDF - 6.23 MB]
National Healthcare Safety Network (NHSN) patient safety component manual

Corporate Author:

National Center for Emerging and Zoonotic Infectious Diseases (U.S.), Division of Healthcare Quality Promotion.. National Healthcare Safety Network..

Published:

January 2018

Description:

The NHSN is a secure, Internet-based surveillance system that expands and integrates patient and healthcare personnel safety surveillance systems managed by the Division of Healthcare Quality Promotion (DHQP) at the Centers for Disease Control and Pr...

File Type:

[PDF - 7.97 MB]
National Healthcare Safety Network (NHSN) patient safety component manual

Corporate Author:

National Center for Emerging and Zoonotic Infectious Diseases (U.S.), Division of Healthcare Quality Promotion.. National Healthcare Safety Network..

Published:

January 2017

Description:

The NHSN is a secure, Internet-based surveillance system that expands and integrates patient and healthcare personnel safety surveillance systems managed by the Division of Healthcare Quality Promotion (DHQP) at the Centers for Disease Control and Pr...

File Type:

[PDF - 6.17 MB]
Effect of a Stewardship Intervention on Adherence to Uncomplicated Cystitis and Pyelonephritis Guidelines in an Emergency Department Setting

Personal Author:

Hecker, Michelle T.; Fox, Clinton J.; Son, Andrea H.; Cydulka, Rita K.; Siff, Jonathan E.; Emerman, Charles L.; Sethi, Ajay K.; Muganda, Christine P.; Donskey, Curtis J.;

Published:

Feb 03 2014

Source:

PLoS One. 2014; 9(2).

Description:

Objective : To evaluate adherence to uncomplicated urinary tract infections (UTI) guidelines and UTI diagnostic accuracy in an emergency department (ED) setting before and after implementation of an antimicrobial stewardship intervention. : Methods :...

File Type:

[PDF - 268.16 KB]
Guideline for prevention of catheter-associated urinary tract infections 2009

Personal Author:

Agarwal, Rajender K.; Gould, Carolyn V.; Kuntz, Gretchen; Pegues, David A.; Umscheid, Craig A.;

Corporate Author:

Healthcare Infection Control Practices Advisory Committee (U.S.). Centers for Disease Control and Prevention (U.S.).

Published:

2009

Description:

"This guideline updates and expands the original Centers for Disease Control and Prevention (CDC) Guideline for Prevention of Catheter-associated Urinary Tract Infections (CAUTI) published in 1981. Several developments necessitated revision of the 19...

File Type:

[PDF - 406.81 KB]