Evidence map›Paper›PMID 26412847›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2015

Incidence, severity, help seeking, and management of uncomplicated urinary tract infection: a population-based survey.

Chris C Butler, Meredith K D Hawking, Anna Quigley, Cliodna A M McNulty

Open access · bronzeAbstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 96 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
96citing papers in PubMed, 4 pooled it
2.6field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

96 citing papers in PubMed, 4 syntheses or guidelines pooled it, 141 citations in OpenAlex.

  1. Primary care practitioners' experiences managing urinary tract infections: a qualitative evidence synthesis.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026
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  4. Implications of Antibiotic Resistance for Patients' Recovery From Common Infections in the Community: A Systematic Review and Meta-analysis.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2017
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  14. Point-of-care urine culture for managing urinary tract infection in primary care: a randomised controlled trial of clinical and cost-effectiveness.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018
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  15. Predicting antibiotic prescription after symptomatic treatment for urinary tract infection: development of a model using data from an RCT in general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2016
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  20. Uncomplicated Urinary Tract Infections: From an Invisible Impact to a Visible Change in Complex Care.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
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36 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Chris C ButlerNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, and GP, Cwm Taf University Health Board, Wales.
Meredith K D HawkingPublic Health England Primary Care Unit, Microbiology Department, Gloucestershire Royal Hospital, Gloucester, UK.
Anna QuigleyIpsos MORI Social Research Institute, London, UK.
Cliodna A M McNultyPublic Health England Primary Care Unit, and visiting honorary professor, Cardiff University, Microbiology Department, Gloucestershire Royal Hospital, Gloucester, UK.
Gloucestershire Royal Hospital · GBIpsos (United Kingdom) · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLimited knowledge of the population incidence and management of uncomplicated urinary tract infection (UTI) limits information provision and interventions to enhance care in the community.

aimTo describe incidence and severity, help seeking, and management of UTI from a population perspective. DESIGN AND

settingHousehold survey in England in 2014.

methodIn total, a random sample of 2424 females aged ≥16 years were interviewed in their own homes using computer-assisted interviewing about their UTI symptoms, help seeking, and management. Data were weighted by sex, age, ethnicity, working status, social grade, and housing tenure, and Government Office Region to be broadly representative of the general population.

resultsOf the females interviewed, 892 (37%) reported having had at least one UTI in their lifetime (29% had more than one episode). In the past year, 11% of all females reported a UTI and 3% recurrent UTI (≥3 or more). Of those who had ever had a UTI, 48% rated their last UTI as fairly or very severe. In total, 95% consulted a health professional; 65% at their local GP practice during routine consulting hours. Out-of-hours consulting was uncommon but more prevalent in younger females. Of those contacting a health professional, 76% had a urine test, 74% were prescribed an antibiotic, but only 63% of these reported taking the antibiotic. Delayed antibiotic prescribing was rare.

conclusionUTI symptoms are common; most females consult in general practice, and are prescribed antibiotics, but one-third report not taking the antibiotics as prescribed. Benefit and harms in those taking, and not taking, antibiotics need to be better understood in order to improve help seeking, management, and adherence. Urine tests and antibiotics could be reduced by basing empirical antibiotics on symptoms, and increasing use of back-up prescriptions.

Indexed as

General PracticePublic HealthAdolescentAdultAnti-Infective Agents, UrinaryDrug PrescriptionsEnglandFemaleHealth Care SurveysHumansIncidenceInformation Seeking BehaviorMiddle AgedPractice Patterns, Physicians'PrevalenceSurveys and QuestionnairesAnti-Infective Agents, Urinaryanti-infective agentsconsultingdiagnostic test, routineepidemiologyprimary careurinary tract infection

Identifiers

PMID26412847
PMCPMC4582883
OpenAlexW2184950859

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.