Risk Factors for Development of Septic Shock in Patients with Urinary Tract InfectionReportar como inadecuado




Risk Factors for Development of Septic Shock in Patients with Urinary Tract Infection - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

BioMed Research International - Volume 2015 2015, Article ID 717094, 7 pages -

Research Article

Department of Internal Medicine, Ditmanson Medical Foundation Chiayi Christian Hospital, Chiayi, Taiwan

Department of Hospital and Health Care Administration, Chia Nan University of Pharmacy and Science, Tainan, Taiwan

Department of Nephrology, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taoyuan, Taiwan

Department of Emergency, FooYin University Hospital, Pingtung County, Taiwan

Department of Nurse, Tajen University, Pingtung, Taiwan

Division of Allergy, Asthma, and Rheumatology, Departmen of Pediatrics, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taoyuan, Taiwan

Department of Genetics, University of Alabama at Birmingham, Birmingham, AL, USA

Department of Applied Life Science and Health, Chia Nan University of Pharmacy and Science, Tainan, Taiwan

Department of Family Medicine, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taoyuan, Taiwan

Division of Chest, Department of Internal Medicine, Chung Shan Medical University Hospital, Taichung, Taiwan

School of Medicine, Chung Shan Medical University, Taichung, Taiwan

Received 21 April 2015; Revised 10 July 2015; Accepted 13 July 2015

Academic Editor: Florian M. Wagenlehner

Copyright © 2015 Chih-Yen Hsiao et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. Severe sepsis and septic shock are associated with substantial mortality. However, few studies have assessed the risk of septic shock among patients who suffered from urinary tract infection UTI. Materials and Methods. This retrospective study recruited UTI cases from an acute care hospital between January 2006 and October 2012 with prospective data collection. Results. Of the 710 participants admitted for UTI, 80 patients 11.3% had septic shock. The rate of bacteremia is 27.9%; acute kidney injury is 12.7%, and the mortality rate is 0.28%. Multivariable logistic regression analyses indicated that coronary artery disease CAD OR: 2.521, 95% CI: 1.129–5.628, , congestive heart failure CHF OR: 4.638, 95% CI: 1.908–11.273, , and acute kidney injury AKI OR: 2.992, 95% CI: 1.610–5.561, were independently associated with septic shock in patients admitted with UTI. In addition, congestive heart failure female, OR: 4.076, 95% CI: 1.355–12.262, ; male, OR: 5.676, 95% CI: 1.103–29.220, , resp. and AKI female, OR: 2.995, 95% CI: 1.355–6.621, ; male, OR: 3.359, 95% CI: 1.158–9.747, , resp. were significantly associated with risk of septic shock in both gender groups. Conclusion. This study showed that patients with a medical history of CAD or CHF have a higher risk of shock when admitted for UTI treatment. AKI, a complication of UTI, was also associated with septic shock. Therefore, prompt and aggressive management is recommended for those with higher risks to prevent subsequent treatment failure in UTI patients.





Autor: Chih-Yen Hsiao, Huang-Yu Yang, Chih-Hsiang Chang, Hsing-Lin Lin, Chao-Yi Wu, Meng-Chang Hsiao, Peir-Haur Hung, Su-Hsun Liu,

Fuente: https://www.hindawi.com/



DESCARGAR PDF




Documentos relacionados