PICO Case Study: Urinary Tract Infection And Thrush

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From the scenarios provided, I have chosen scenario 2, Susan the 22-year-old art student and her history of urinary tract infection and thrush. I have chosen to examine, using the PICO method, whether or not her decision to take cranberry juice will affect her diagnosis and treatment of the urinary tract infection, and whether or not it will affect her chances of developing thrush again.

To develop a PICO question style question, I have broadened the population to include all young women (who are more at risk of developing both a urinary tract infection and thrush, due to their shorter urethra), and will endeavor to focus on any studies I can find that relate specifically to students in an 18 to 30 age bracket. The intervention in this scenario
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Burleigh, AE., Benck, SM., McAchran SE., Reed, JD., Krueger, CG., & Hopkins, WJ. (2013). Consumption of sweetened, dried cranberries may reduce urinary tract infection incidence in susceptible women – a modified observational study. US National Library of Medicine, National Institutes of Health. 12(1):…show more content…
3. Jepson, R., Williams, G., & Craig, J. (2012). Cranberries for preventing urinary tract infections. Cochrane Library. 10(5).
DOI: 10.1002/14651858.CD001321.pub5

4. Leyden, GM., Turner, S., Smith, H., & Little, P. (2010). Women’s views about management and cause of urinary tract infection: qualitative interview study. BMJ. 2010; 340: c279.

5. Minardi, D., d”Anzeo, G., Cantoro, D., Conti, A., & Muzzonigro, G. (2011). Urinary tract infections in women: etiology and treatment options. US National Library of Medicine, National Institutes of Health. 4: 333-343. doi: 10.2147/IJGM.S11767

The first of the sources (Barbosa-Cesnik, et al) was included because of its trial population of college women taking cranberry juice, and its double blind, placebo approach. Because of this, I weighed this source as being applicable to Susan’s situation, and therefore the PICO style question. In this first source, the overall result of the controlled trial was that the taking of cranberry juice did not reduce the incidence of recurrent urinary tract infections. However, the authors wondered if the cranberry juice itself caused any of the positive effects felt by participants, or whether any additives to the juice were

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