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Prognosis Risk of Urosepsis in Critical Care Medicine: A Prospective Observational Study
This study aimed to investigate the clinical features of urosepsis and to raise awareness of this problem. Of the 112 sepsis patients enrolled, 36 were identified as having urosepsis. The bacteria involved in the infection leading to urosepsis included Escherichia coli, Proteus species, Enterococcus...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2016
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4756185/ https://www.ncbi.nlm.nih.gov/pubmed/26955639 http://dx.doi.org/10.1155/2016/9028924 |
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author | Qiang, Xin-Hua Yu, Tie-Ou Li, Yi-Nan Zhou, Li-Xin |
author_facet | Qiang, Xin-Hua Yu, Tie-Ou Li, Yi-Nan Zhou, Li-Xin |
author_sort | Qiang, Xin-Hua |
collection | PubMed |
description | This study aimed to investigate the clinical features of urosepsis and to raise awareness of this problem. Of the 112 sepsis patients enrolled, 36 were identified as having urosepsis. The bacteria involved in the infection leading to urosepsis included Escherichia coli, Proteus species, Enterococcus species, Klebsiella species, other Gram-positive cocci, and Pseudomonas aeruginosa. Although the organ/system dysfunction appeared earlier in the urosepsis patients than in the other sepsis patients (4.7 ± 2.4 versus 7.2 ± 4.5 hours, P < 0.001), the urosepsis patients presented with a better prognosis and lower 28-day mortality rate than the others (6% versus 37%). In the multivariate analysis, the type of sepsis (urosepsis, OR = 0.019, 95% CI = 0.001, 0.335, P = 0.007) and SOFA score (OR = 1.896, 95% CI = 1.012, 3.554, P = 0.046) remained significantly associated with the survival. The time of admission to the intensive care unit of 17 patients transferred from the Department of Urinary Surgery was significantly prolonged compared with those transferred from other departments (11.6 ± 7.3 versus 7.2 ± 4.9 hours, P < 0.05). In conclusion, urosepsis suggested a better prognosis, but attention needs to be paid in clinical practice, especially in urinary surgery. |
format | Online Article Text |
id | pubmed-4756185 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-47561852016-03-07 Prognosis Risk of Urosepsis in Critical Care Medicine: A Prospective Observational Study Qiang, Xin-Hua Yu, Tie-Ou Li, Yi-Nan Zhou, Li-Xin Biomed Res Int Research Article This study aimed to investigate the clinical features of urosepsis and to raise awareness of this problem. Of the 112 sepsis patients enrolled, 36 were identified as having urosepsis. The bacteria involved in the infection leading to urosepsis included Escherichia coli, Proteus species, Enterococcus species, Klebsiella species, other Gram-positive cocci, and Pseudomonas aeruginosa. Although the organ/system dysfunction appeared earlier in the urosepsis patients than in the other sepsis patients (4.7 ± 2.4 versus 7.2 ± 4.5 hours, P < 0.001), the urosepsis patients presented with a better prognosis and lower 28-day mortality rate than the others (6% versus 37%). In the multivariate analysis, the type of sepsis (urosepsis, OR = 0.019, 95% CI = 0.001, 0.335, P = 0.007) and SOFA score (OR = 1.896, 95% CI = 1.012, 3.554, P = 0.046) remained significantly associated with the survival. The time of admission to the intensive care unit of 17 patients transferred from the Department of Urinary Surgery was significantly prolonged compared with those transferred from other departments (11.6 ± 7.3 versus 7.2 ± 4.9 hours, P < 0.05). In conclusion, urosepsis suggested a better prognosis, but attention needs to be paid in clinical practice, especially in urinary surgery. Hindawi Publishing Corporation 2016 2016-02-03 /pmc/articles/PMC4756185/ /pubmed/26955639 http://dx.doi.org/10.1155/2016/9028924 Text en Copyright © 2016 Xin-Hua Qiang et al. https://creativecommons.org/licenses/by/4.0/ 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. |
spellingShingle | Research Article Qiang, Xin-Hua Yu, Tie-Ou Li, Yi-Nan Zhou, Li-Xin Prognosis Risk of Urosepsis in Critical Care Medicine: A Prospective Observational Study |
title | Prognosis Risk of Urosepsis in Critical Care Medicine: A Prospective Observational Study |
title_full | Prognosis Risk of Urosepsis in Critical Care Medicine: A Prospective Observational Study |
title_fullStr | Prognosis Risk of Urosepsis in Critical Care Medicine: A Prospective Observational Study |
title_full_unstemmed | Prognosis Risk of Urosepsis in Critical Care Medicine: A Prospective Observational Study |
title_short | Prognosis Risk of Urosepsis in Critical Care Medicine: A Prospective Observational Study |
title_sort | prognosis risk of urosepsis in critical care medicine: a prospective observational study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4756185/ https://www.ncbi.nlm.nih.gov/pubmed/26955639 http://dx.doi.org/10.1155/2016/9028924 |
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