Akademik Veri Yönetim Sistemi
29th WONCA EUROPE CONFERENCE, Dublin, İrlanda, 25 - 28 Eylül 2024, ss.1185, (Özet Bildiri)
Introduction
Recurrent urinary
tract infection (UTI) is identified by having two or more infections within six
months or three within one year, primarily manifesting as acute uncomplicated
cystitis. The risk of recurrent UTIs in individuals with an alcoholic spouse is
not directly discussed in medical literature based on general knowledge. This
case report aims to explore the complex interaction between behavioral factors
and recurrent UTIs, particularly in the context of living with an alcoholic
spouse, which may contribute to recurrent infections due to associated poor
lifestyle choices and stress-related immune compromise.
Case Presentation
A 38-year-old woman,
married and a mother of two, recurrently presented with UTI symptoms, treated
four times over the last three months. Detailed history revealed her husband's
alcoholism and coercive sexual behavior. Investigations included ELISA,
complete urinalysis, urine culture, and HPV tests, guiding the initiation of
appropriate antibiotic therapy based on the culture results. The patient also
expressed concerns about her marital situation, complicated by her inability to
leave due to concerns for her children's safety. She received support from the
Izmir Bar Association's Women's Rights Unit, while her husband declined medical
involvement.
Conclusion
The patient's frequent
sexual activity and her spouse's potential for multiple sexual partners, as a
result of his alcoholism, significantly elevate her risk for recurrent UTIs.
This case underscores the importance of addressing behavioral and psychosocial
factors in the management of recurrent UTIs, highlighting the need for
comprehensive treatment approaches that include behavioral risk modification,
psychosocial support, and educational interventions for spouses.