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    標題: Urolithiasis Is a Risk Factor for Uroseptic Shock and Acute Kidney Injury in Patients With Urinary Tract Infection
    作者: Chih-Yen Hsiao(蕭志彥)
    Chen, Tsung-Hsien
    Lee, Yi-Chien
    Hsiao, Meng-Chang
    Peir-Haur Hung(洪培豪)
    Chen, Yih-Yuan
    Wang, Ming-Cheng
    貢獻者: Ditmanson Med Fdn Chia Yi Christian Hosp, Dept Internal Med, Div Nephrol
    Chia Nan Univ Pharm & Sci, Dept Hosp & Hlth Care Adm
    Fu Jen Catholic Univ, Fu Jen Catholic Univ Hosp, Dept Internal Med
    Fu Jen Catholic Univ, Sch Med, Coll Med
    Jackson Lab Genom Med, Farmington
    Chia Nan Univ Pharm & Sci, Dept Appl Life Sci & Hlth
    Natl Chiayi Univ, Dept Biochem Sci & Technol
    Natl Cheng Kung Univ, Coll Med, Natl Cheng Kung Univ Hosp, Dept Internal Med
    關鍵字: urolithiasis
    urinary tract infection
    uroseptic shock
    acute kidney injury
    bacteremia
    日期: 2019-12
    上傳時間: 2020-07-29 13:54:16 (UTC+8)
    出版者: FRONTIERS MEDIA SA
    摘要: Urinary tract infection (UTI) is a common complication in patients with urolithiasis. This study aimed to compare clinical manifestations and treatment outcomes among UTI patients with or without urolithiasis. It also focused on identifying relationships among urolithiasis, uroseptic shock, and acute kidney injury (AKI). This retrospective study enrolled hospitalized UTI patients who underwent imaging in an acute care setting from January 2006 to March 2015. Of 662 participants enrolled, 113 (17.1%) had urolithiasis, 107 (16.2%) developed uroseptic shock, and 184 (27.8%) developed AKI. A multivariate logistic regression analysis showed that in UTI patients, urolithiasis is associated with an increased risk of uroseptic shock (OR 1.80, 95% CI: 1.08-3.02, P = 0.025), AKI (OR 1.95, 95% CI: 1.22-3.12, P = 0.005), and bacteremia (OR 1.68, 95% CI: 1.08-2.64, P = 0.022). Urolithiasis is common in UTI patients and is associated with an increased risk of uroseptic shock and AKI.
    關聯: Frontiers in Medicine, v.6, 288
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