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Variations in presentation, management, and patient outcomes of urinary tract infection: a prospective four-country primary care observational cohort study

Overview of attention for article published in British Journal of General Practice, November 2017
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About this Attention Score

  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (86th percentile)
  • Good Attention Score compared to outputs of the same age and source (68th percentile)

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17 X users
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1 Google+ user

Citations

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101 Mendeley
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Title
Variations in presentation, management, and patient outcomes of urinary tract infection: a prospective four-country primary care observational cohort study
Published in
British Journal of General Practice, November 2017
DOI 10.3399/bjgp17x693641
Pubmed ID
Authors

Christopher C Butler, Nick Francis, Emma Thomas-Jones, Carl Llor, Emily Bongard, Michael Moore, Paul Little, Janine Bates, Mandy Lau, Timothy Pickles, Micaela Gal, Mandy Wootton, Nigel Kirby, David Gillespie, Kate Rumbsy, Curt Brugman, Kerenza Hood, Theo Verheij

Abstract

Regional variations in the presentation of uncomplicated urinary tract infection (UTI) and pathogen sensitivity to antibiotics have been cited as reasons to justify differences in how the infections are managed, which includes the prescription of broad-spectrum antibiotics. To describe presentation and management of UTI in primary care settings, and explore the association with patient recovery, taking microbiological findings and case mix into account. Prospective observational study of females with symptoms of uncomplicated UTI presenting to primary care networks in England, Wales, the Netherlands, and Spain. Clinicians recorded history, symptom severity, management, and requested mid-stream urine culture. Participants recorded, in a diary, symptom severity each day for 14 days. Time to recovery was compared between patient characteristics and between countries using two-level Cox proportional hazards models, with patients nested within practices. In total, 797 females attending primary care networks in England (n = 246, 30.9% of cohort), Wales (n = 213, 26.7%), the Netherlands (n = 133, 16.7%), and Spain (n = 205, 25.7%) were included. In total, 259 (35.8%, 95% confidence interval 32.3 to 39.2) of 726 females for whom there was a result were urine culture positive for UTI. Pathogens and antibiotic sensitivities were similar. Empirical antibiotics were prescribed for 95.1% in England, 92.9% in Wales, 95.1% in Spain, and 59.4% in the Netherlands There were no meaningful differences at a country network level before and after controlling for severity, prior UTIs, and antibiotic prescribing. Variation in presentation and management of uncomplicated UTI at a country primary care network level is clinically unwarranted and highlights a lack of consensus concerning optimal symptom control and antibiotic prescribing.

X Demographics

X Demographics

The data shown below were collected from the profiles of 17 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 101 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 101 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 17 17%
Student > Ph. D. Student 16 16%
Researcher 12 12%
Student > Bachelor 10 10%
Other 7 7%
Other 10 10%
Unknown 29 29%
Readers by discipline Count As %
Medicine and Dentistry 36 36%
Nursing and Health Professions 6 6%
Pharmacology, Toxicology and Pharmaceutical Science 6 6%
Agricultural and Biological Sciences 5 5%
Immunology and Microbiology 4 4%
Other 11 11%
Unknown 33 33%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 12. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 20 November 2018.
All research outputs
#2,673,138
of 23,313,051 outputs
Outputs from British Journal of General Practice
#1,229
of 4,355 outputs
Outputs of similar age
#60,125
of 439,158 outputs
Outputs of similar age from British Journal of General Practice
#28
of 90 outputs
Altmetric has tracked 23,313,051 research outputs across all sources so far. Compared to these this one has done well and is in the 88th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 4,355 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 19.2. This one has gotten more attention than average, scoring higher than 71% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 439,158 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 86% of its contemporaries.
We're also able to compare this research output to 90 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 68% of its contemporaries.