High bacterial titers in urine are predictive of abnormal postvoid residual urine in patients with urinary tract infection
| Autor: | M. Etienne, P. Grise, F. Caron, Kevin Alexandre, M. Pestel-Caron, P. Chassagne |
|---|---|
| Přispěvatelé: | Service des maladies infectieuses et tropicales [Rouen], CHU Rouen, Normandie Université (NU)-Normandie Université (NU)-Université de Rouen Normandie (UNIROUEN), Normandie Université (NU), Groupe de Recherche sur l'Adaptation Microbienne (GRAM 2.0), Université de Rouen Normandie (UNIROUEN), Normandie Université (NU)-Normandie Université (NU)-Université de Caen Normandie (UNICAEN), Département de microbiologie [CHU Rouen], Service de médecine gériatrique [CHU Rouen], Normandie Université (NU)-CHU Bois Guiilaume, Service d'urologie [Rouen] |
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male Microbiology (medical) medicine.medical_specialty Urinary system 030232 urology & nephrology Urine Gastroenterology Young Adult 03 medical and health sciences 0302 clinical medicine Internal medicine Escherichia coli Humans Medicine In patient 030212 general & internal medicine Escherichia coli Infections ComputingMilieux_MISCELLANEOUS Aged Retrospective Studies Aged 80 and over business.industry Residual urine General Medicine Middle Aged medicine.disease [SDV.MP.BAC]Life Sciences [q-bio]/Microbiology and Parasitology/Bacteriology Bacterial Load eye diseases 3. Good health Surgery Titer Infectious Diseases Bacteremia Concomitant Urinary Tract Infections Female sense organs business Voiding Disorders |
| Zdroj: | Diagnostic Microbiology and Infectious Disease Diagnostic Microbiology and Infectious Disease, Elsevier, 2015, 83 (1), pp.63-67. ⟨10.1016/j.diagmicrobio.2015.05.003⟩ |
| ISSN: | 0732-8893 |
| DOI: | 10.1016/j.diagmicrobio.2015.05.003⟩ |
| Popis: | Urine bacterial titers (BTs) are influenced by bacterial and host factors. The impact of an abnormal postvoid residual (PVR) on BT in urine was investigated. A total of 103 inpatients with a urine growing Enterobacteriacae (≥ 10(2) CFU/mL) and a PVR measure were analyzed, mostly female (62%), elderly (mean age: 72 years), with urinary tract infection (25% of asymptomatic bacteriuria) due to Escherichia coli (85%). Fifty-two subjects (56%) had BT ≥ 10(6) CFU/mL; 48 (53%) had a PVR ≤ 100 mL, while 26 (25%) had a PVR250 mL. PVR increased with BT, and a significant (P0.0001) threshold was reached for 10(6) CFU/mL: 100mL mean PVR for patients with BT ≤ 10(5) CFU/mL versus 248 mL for patients with BT10(5) CFU/mL. High PVR and BT were associated with complicated infections, concomitant bacteremia, and delayed apyrexia. Screening for patients with BT ≥ 10(6) CFU/mL is an easy way to identify patients at high risk for acute retention and voiding disorders. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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