Comparing Clinician UTI Diagnoses to the Delphi Consensus Standard: A Retrospective Study at Sebbi Hospital, Uganda

The accurate diagnosis of urinary tract infections (UTIs) remains a significant challenge in resource-limited settings, where diagnostic capabilities vary considerably. This study aims to evaluate the accuracy of clinician UTI diagnoses at Sebbi Hospital in Uganda compared to the Delphi consensus standard for UTI research. Understanding this relationship will inform diagnostic practices and antibiotic stewardship in general hospitals and lower-level health centers in similar settings. We will test the hypothesis that clinician diagnoses of UTIs at general hospitals and lower-level health centers differ significantly from the Delphi consensus standard, particularly in the interpretation of clinical and urinalysis parameters. Additional investigations will also examine variations in diagnostic agreement between pediatric and adult populations.