Chia Nan University of Pharmacy & Science Institutional Repository:Item 310902800/32663
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    Title: Urolithiasis Is a Risk Factor for Uroseptic Shock and Acute Kidney Injury in Patients With Urinary Tract Infection
    Authors: 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
    Contributors: 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
    Keywords: urolithiasis
    urinary tract infection
    uroseptic shock
    acute kidney injury
    bacteremia
    Date: 2019-12
    Issue Date: 2020-07-29 13:54:16 (UTC+8)
    Publisher: FRONTIERS MEDIA SA
    Abstract: 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.
    Relation: Frontiers in Medicine, v.6, 288
    Appears in Collections:[Dept. of Hospital and Health (including master's program)] Periodical Articles
    [Dept. of Life and Health Science] Periodical Articles

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