Increased demand of urine cultures from Danish general practice: a five-year register-based study
To characterise and explore the development in the number and content of urine samples sent from general practice in the North Denmark Region to the Department of Clinical Microbiology (DCM) at Aalborg University Hospital during a five-year period. A register-based study. General practice. Urine sam...
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| Veröffentlicht in: | Scandinavian journal of primary health care 2023-06, Vol.41 (2), p.179-185 |
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| creator | Jakobsen, Michael Adelsen Sørensen, Mia Carøe Kornum, Jette Brommann Falborg, Alina Zalounina Hansen, Malene Plejdrup |
| description | To characterise and explore the development in the number and content of urine samples sent from general practice in the North Denmark Region to the Department of Clinical Microbiology (DCM) at Aalborg University Hospital during a five-year period.
A register-based study.
General practice.
Urine samples received at DCM, Aalborg University Hospital from general practice between 2017 and 2022.
Number and content of urine samples.
A total of 255,271 urine samples from general practice were received at DCM, with 76.1% being from female patients. Uropathogens were identified in 43.0% of the samples. During the five-year period, a 23.0% increase in the number of urine samples per person (incidence rate ratio (IRR) 1.23, 95% CI 1.21-1.25) was observed. A slight increase in the proportion of positive cultures (risk ratio (RR) 1.03, 95% CI 1.01-1.05) was seen. No notable change in the patient population (age, gender) was observed. Overall, Escherichia coli was the most identified uropathogen (60.4%) followed by Klebsiella spp. (8.7%) and Enterococcus spp. (7.7%). Distribution of the various uropathogens differed slightly depending on patient gender and age, importantly E. coli was less frequently observed in males aged >65 years.
During the past five years an increasing amount of urine cultures have been requested at DCM from general practice. Importantly, the cause(s) of this increasing demand needs to be explored further in future studies. |
| doi_str_mv | 10.1080/02813432.2023.2196546 |
| format | Article |
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A register-based study.
General practice.
Urine samples received at DCM, Aalborg University Hospital from general practice between 2017 and 2022.
Number and content of urine samples.
A total of 255,271 urine samples from general practice were received at DCM, with 76.1% being from female patients. Uropathogens were identified in 43.0% of the samples. During the five-year period, a 23.0% increase in the number of urine samples per person (incidence rate ratio (IRR) 1.23, 95% CI 1.21-1.25) was observed. A slight increase in the proportion of positive cultures (risk ratio (RR) 1.03, 95% CI 1.01-1.05) was seen. No notable change in the patient population (age, gender) was observed. Overall, Escherichia coli was the most identified uropathogen (60.4%) followed by Klebsiella spp. (8.7%) and Enterococcus spp. (7.7%). Distribution of the various uropathogens differed slightly depending on patient gender and age, importantly E. coli was less frequently observed in males aged >65 years.
During the past five years an increasing amount of urine cultures have been requested at DCM from general practice. Importantly, the cause(s) of this increasing demand needs to be explored further in future studies.</description><identifier>ISSN: 0281-3432</identifier><identifier>EISSN: 1502-7724</identifier><identifier>DOI: 10.1080/02813432.2023.2196546</identifier><identifier>PMID: 37052881</identifier><language>eng</language><publisher>United States: Taylor & Francis</publisher><subject>Anti-Bacterial Agents - therapeutic use ; Denmark ; Escherichia coli ; Female ; Gender ; General Practice ; Humans ; Male ; Males ; Microbiology ; microbiology testing ; Original ; Urinalysis ; urinary tract infection ; Urinary Tract Infections - epidemiology ; Urine ; Urine culture ; Urine tests ; uropathogen</subject><ispartof>Scandinavian journal of primary health care, 2023-06, Vol.41 (2), p.179-185</ispartof><rights>2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. 2023</rights><rights>2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This work is licensed under the Creative Commons Attribution License http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. 2023 The Author(s)</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c563t-707c4a9bd4134d97fe5bea4d2079a2682915919151c2e19ddfaaeb88c7adc41b3</citedby><cites>FETCH-LOGICAL-c563t-707c4a9bd4134d97fe5bea4d2079a2682915919151c2e19ddfaaeb88c7adc41b3</cites><orcidid>0000-0002-8444-1369</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10599257/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10599257/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,12825,27479,27901,27902,30976,53766,53768,59116,59117</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37052881$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jakobsen, Michael Adelsen</creatorcontrib><creatorcontrib>Sørensen, Mia Carøe</creatorcontrib><creatorcontrib>Kornum, Jette Brommann</creatorcontrib><creatorcontrib>Falborg, Alina Zalounina</creatorcontrib><creatorcontrib>Hansen, Malene Plejdrup</creatorcontrib><title>Increased demand of urine cultures from Danish general practice: a five-year register-based study</title><title>Scandinavian journal of primary health care</title><addtitle>Scand J Prim Health Care</addtitle><description>To characterise and explore the development in the number and content of urine samples sent from general practice in the North Denmark Region to the Department of Clinical Microbiology (DCM) at Aalborg University Hospital during a five-year period.
A register-based study.
General practice.
Urine samples received at DCM, Aalborg University Hospital from general practice between 2017 and 2022.
Number and content of urine samples.
A total of 255,271 urine samples from general practice were received at DCM, with 76.1% being from female patients. Uropathogens were identified in 43.0% of the samples. During the five-year period, a 23.0% increase in the number of urine samples per person (incidence rate ratio (IRR) 1.23, 95% CI 1.21-1.25) was observed. A slight increase in the proportion of positive cultures (risk ratio (RR) 1.03, 95% CI 1.01-1.05) was seen. No notable change in the patient population (age, gender) was observed. Overall, Escherichia coli was the most identified uropathogen (60.4%) followed by Klebsiella spp. (8.7%) and Enterococcus spp. (7.7%). Distribution of the various uropathogens differed slightly depending on patient gender and age, importantly E. coli was less frequently observed in males aged >65 years.
During the past five years an increasing amount of urine cultures have been requested at DCM from general practice. Importantly, the cause(s) of this increasing demand needs to be explored further in future studies.</description><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>Denmark</subject><subject>Escherichia coli</subject><subject>Female</subject><subject>Gender</subject><subject>General Practice</subject><subject>Humans</subject><subject>Male</subject><subject>Males</subject><subject>Microbiology</subject><subject>microbiology testing</subject><subject>Original</subject><subject>Urinalysis</subject><subject>urinary tract infection</subject><subject>Urinary Tract Infections - epidemiology</subject><subject>Urine</subject><subject>Urine culture</subject><subject>Urine tests</subject><subject>uropathogen</subject><issn>0281-3432</issn><issn>1502-7724</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>0YH</sourceid><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>BENPR</sourceid><sourceid>DOA</sourceid><recordid>eNp9kk9vFCEYhydGY2v1I2hIvHiZFRgYwIua-m-TJl70TN6Bd7ZsZoYVZmr228t2t4314AUSeHh4X_hV1UtGV4xq-pZyzRrR8BWnvFlxZlop2kfVOZOU10px8bg6PzD1ATqrnuW8pZRpapqn1VmjqORas_MK1pNLCBk98TjC5EnsyZLChMQtw7wkzKRPcSSfYAr5mmxwwgQD2SVwc3D4jgDpww3We4REEm5CnjHV3a0xz4vfP6-e9DBkfHGaL6qfXz7_uPxWX33_ur78eFU72TZzrahyAkznRWnLG9Wj7BCE51QZ4K3mhknDysAcR2a87wGw09op8E6wrrmo1kevj7C1uxRGSHsbIdjbhZg2FlIpeUDLlHAKGTDWNkJia0Qnewm98gaAgi6u90fXbulG9A6nuTT9QPpwZwrXdhNvLKPSGC5VMbw5GVL8tWCe7Riyw2GACeOSLdeUtlyplhX09T_oNi5pKm9luRG8fJpWolDySLkUc07Y31fDqD0kwt4lwh4SYU-JKOde_d3K_am7CBTgwxEIUx_TCL9jGrydYT_E1CeYXMi2-f8dfwCLAcWx</recordid><startdate>202306</startdate><enddate>202306</enddate><creator>Jakobsen, Michael Adelsen</creator><creator>Sørensen, Mia Carøe</creator><creator>Kornum, Jette Brommann</creator><creator>Falborg, Alina Zalounina</creator><creator>Hansen, Malene Plejdrup</creator><general>Taylor & Francis</general><general>Taylor & Francis LLC</general><general>Taylor & Francis Group</general><scope>0YH</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>3V.</scope><scope>7QJ</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-8444-1369</orcidid></search><sort><creationdate>202306</creationdate><title>Increased demand of urine cultures from Danish general practice: a five-year register-based study</title><author>Jakobsen, Michael Adelsen ; 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A register-based study.
General practice.
Urine samples received at DCM, Aalborg University Hospital from general practice between 2017 and 2022.
Number and content of urine samples.
A total of 255,271 urine samples from general practice were received at DCM, with 76.1% being from female patients. Uropathogens were identified in 43.0% of the samples. During the five-year period, a 23.0% increase in the number of urine samples per person (incidence rate ratio (IRR) 1.23, 95% CI 1.21-1.25) was observed. A slight increase in the proportion of positive cultures (risk ratio (RR) 1.03, 95% CI 1.01-1.05) was seen. No notable change in the patient population (age, gender) was observed. Overall, Escherichia coli was the most identified uropathogen (60.4%) followed by Klebsiella spp. (8.7%) and Enterococcus spp. (7.7%). Distribution of the various uropathogens differed slightly depending on patient gender and age, importantly E. coli was less frequently observed in males aged >65 years.
During the past five years an increasing amount of urine cultures have been requested at DCM from general practice. Importantly, the cause(s) of this increasing demand needs to be explored further in future studies.</abstract><cop>United States</cop><pub>Taylor & Francis</pub><pmid>37052881</pmid><doi>10.1080/02813432.2023.2196546</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-8444-1369</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Scandinavian journal of primary health care, 2023-06, Vol.41 (2), p.179-185 |
| issn | 0281-3432 1502-7724 |
| language | eng |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); Taylor & Francis Open Access; MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central |
| subjects | Anti-Bacterial Agents - therapeutic use Denmark Escherichia coli Female Gender General Practice Humans Male Males Microbiology microbiology testing Original Urinalysis urinary tract infection Urinary Tract Infections - epidemiology Urine Urine culture Urine tests uropathogen |
| title | Increased demand of urine cultures from Danish general practice: a five-year register-based study |
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