Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 김지은 | - |
dc.date.accessioned | 2018-03-19T02:05:44Z | - |
dc.date.available | 2018-03-19T02:05:44Z | - |
dc.date.issued | 2014-09 | - |
dc.identifier.citation | Journal of Infection September, 2014, 69(3), p.244-251 | en_US |
dc.identifier.issn | 0163-4453 | - |
dc.identifier.issn | 1532-2742 | - |
dc.identifier.uri | http://www.clinicalkey.com/#!/content/playContent/1-s2.0-S0163445314001285?returnurl=&referrer= | - |
dc.identifier.uri | https://www.sciencedirect.com/science/article/pii/S0163445314001285?via%3Dihub | - |
dc.description.abstract | Objectives: Purpose of this study was to compare clinical characteristics and treatment outcomes in diabetic and non-diabetic women with community-acquired APN (CA-APN). Methods: We prospectively collected and analyzed clinical data of women with CA-APN who attended 11 hospitals in South Korea from March 2010 to February 2012. Results: Of a total of 775 patients, 246 (31.7%) were diabetic and 529 (68.3%) non-diabetic. Fewer of the diabetic patients had flank pain (27.6% vs. 37.2% P = 0.009), symptoms of lower urinary tract infection (57.3% vs. 69.6% P = 0.001) and costovertebral angle tenderness (54.9% vs. 72.2% P < 0.001). However, more of them had C-reactive protein >= 20 mg/dL (40.7% vs. 27.4% P < 0.001), azotemia (29.3% vs. 13.4% P < 0.001) and bacteremia (53.7% vs. 38.2% P < 0.001). Final clinical failure rates and deaths did not differ between the two groups: 6.9% vs. 4.5%, P = 0.169; 2.0% vs. 1.7%, P = 0.747. However, hospitalization was longer in the diabetics than the non-diabetics (median 9.0 days vs. 7.0 days, P < 0.001). In logistic regression, diabetes was independently associated with longer hospitalization (OR 1.7, CI 1.1-2.7, P = 0.011), together with nausea/vomiting, history of admission within 1 year, bacteremia, azotemia, and dementia, as well as extended-spectrum beta-lactamase (ESBL)-positivity and fluoroquinolone resistance of uropathogens. Conclusions: CA-APN patients with diabetes have more severe disease manifestations and require longer hospitalization than non-diabetic patients although their clinical findings are less clear than those of non-diabetic patients. (C) 2014 The British Infection Association. Published by Elsevier Ltd. All rights reserved. | en_US |
dc.language.iso | en | en_US |
dc.publisher | W B SAUNDERS CO LTD | en_US |
dc.subject | Acute pyelonephritis | en_US |
dc.subject | Diabetes mellitus | en_US |
dc.subject | Women | en_US |
dc.title | Comparison of the clinical characteristics of diabetic and non-diabetic women with community-acquired acute pyelonephritis: A multicenter study | en_US |
dc.type | Article | en_US |
dc.relation.no | 3 | - |
dc.relation.volume | 69 | - |
dc.identifier.doi | 10.1016/j.jinf.2014.05.002 | - |
dc.relation.page | 244-251 | - |
dc.relation.journal | JOURNAL OF INFECTION | - |
dc.contributor.googleauthor | Kim, Yeonjae | - |
dc.contributor.googleauthor | Wie, Seong-Heon | - |
dc.contributor.googleauthor | Chang, U-Im | - |
dc.contributor.googleauthor | Kim, Jieun | - |
dc.contributor.googleauthor | Ki, Moran | - |
dc.contributor.googleauthor | Cho, Young Kyun | - |
dc.contributor.googleauthor | Lim, Seung-Kwan | - |
dc.contributor.googleauthor | Lee, Jin Seo | - |
dc.contributor.googleauthor | Kwon, Ki Tae | - |
dc.contributor.googleauthor | Lee, Hyuck | - |
dc.relation.code | 2014033503 | - |
dc.sector.campus | S | - |
dc.sector.daehak | COLLEGE OF MEDICINE[S] | - |
dc.sector.department | DEPARTMENT OF MEDICINE | - |
dc.identifier.pid | quidam76 | - |
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