Urolithiasis Is a Risk Factor for Uroseptic Shock and Acute Kidney Injury in Patients With Urinary Tract Infection

doi:10.3389/fmed.2019.00288

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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
Appears in Collections:	[醫務管理系(所)] 期刊論文 [生活保健科技系] 期刊論文

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