Comparison of the clinical characteristics of community-acquired acute pyelonephritis between male and female patients
- Title
- Comparison of the clinical characteristics of community-acquired acute pyelonephritis between male and female patients
- Author
- 김지은
- Keywords
- Pyelonephritis; Urinary tract infection; Male; Korea
- Issue Date
- 2021-02
- Publisher
- ELSEVIER
- Citation
- JOURNAL OF INFECTION AND CHEMOTHERAPY, v. 27, NO 7, Page. 1013-1019
- Abstract
- Background: Community-acquired acute pyelonephritis (CA-APN) is relatively rare in men. This study aimed to compare the clinical characteristics of CA-APN between male and female patients. Methods: We prospectively collected the clinical and microbiological data of hospitalized CA-APN patients aged 19 years in South Korea from March 2010 to February 2011 in 11 hospitals and from September 2017 to August 2018 in 8 hospitals. Only the first episodes of APN of each patient during the study period were included. Results: From 2010 to 2011, 573 patients from 11 hospitals were recruited, and from 2017 to 2018, 340 patients were recruited from 8 hospitals. Among them, 5.9% (54/913) were male. Male patients were older (66.0 +/- 15.2 vs. 55.3 +/- 19.0 years, P ˂ 0.001), had a higher Charlson comorbidity index (1.3 +/- 1.5 vs. 0.7 +/- 1.2, P = 0.027), and had a higher proportion of structural problems in the urinary tract (40.7% vs. 6.1%, P ˂ 0.001) than female patients. Moreover, the total duration of antibiotic treatment was longer (21.8 +/- 17.8 d vs. 17.3 +/- 9.4 d, P = 0.001) and the proportion of carbapenem usage was higher (24.1% vs. 9.5%, P = 0.001) in men than in women. Male patients were hospitalized for longer durations than female patients (median, 10 d vs. 7 d, P ˂ 0.001). Conclusions: Male CA-APN patients were older and had more comorbidities than female CA-APN patients. In addition, male patients received antibiotic treatment for a longer duration than female patients.
- URI
- https://www.sciencedirect.com/science/article/pii/S1341321X21000544?via%3Dihubhttps://repository.hanyang.ac.kr/handle/20.500.11754/175655
- ISSN
- 1341-321X ; 1437-7780
- DOI
- 10.1016/j.jiac.2021.02.014
- Appears in Collections:
- COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
- Files in This Item:
There are no files associated with this item.
- Export
- RIS (EndNote)
- XLS (Excel)
- XML