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Trends in the epidemiology of purple urine bag syndrome: A systematic review
Purple urine bag syndrome (PUBS) is rarely observed in clinical practice. The present study aimed to identify the epidemiological trends in PUBS in recent decades. A search of PubMed articles published between 1980 October and 2016 August was conducted, in which 106 articles (174 cases) described PU...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
D.A. Spandidos
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5854937/ https://www.ncbi.nlm.nih.gov/pubmed/29564123 http://dx.doi.org/10.3892/br.2018.1046 |
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author | Yang, Hsiu-Wu Su, Yu-Jang |
author_facet | Yang, Hsiu-Wu Su, Yu-Jang |
author_sort | Yang, Hsiu-Wu |
collection | PubMed |
description | Purple urine bag syndrome (PUBS) is rarely observed in clinical practice. The present study aimed to identify the epidemiological trends in PUBS in recent decades. A search of PubMed articles published between 1980 October and 2016 August was conducted, in which 106 articles (174 cases) described PUBS. Of these cases, 58 cases were excluded: 14 cases without mention of gender, 4 cases without description of age, 37 cases without mention of white blood cell (WBC) count, shock status, fever status or description of etiology, and 3 cases without information on mortality. The remaining 116 PUBS cases were collected and analyzed in the present study. The articles were divided into three groups by publication year: 1991 to 2000, 2001 to 2010 and 2011 to 2016. The χ(2) test was used for statistical analysis, with P<0.05 (two-tailed) defined as the threshold for significance. Of the total enrolled cases, there were 47 men (40.5%) and 69 women (59.5%), with a mean age ± standard deviation of 75.6±12.8 years. Of these, 98 cases (84.5%) were elderly (≥65 years old). A total of 93.1% of cases had a urine pH >7 while 6.9% of cases had acidic urine (pH <7). Furthermore, although WBC count elevated progressively, the mortality rate of patients with PUBS decreased over subsequent decades. This necessitates the advancement of antibiotics and application of early goal-directed therapy. Additionally, the overall mortality rate of PUBS (1980–2016) was 6.8%, which decreased to 4.3% in the last 5 years (2011–2016). In conclusion, although PUBS has previously been considered a benign process in the majority of indwelling catheterized patients, emphasis is required on early examination and aggressive antibiotic administration. |
format | Online Article Text |
id | pubmed-5854937 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | D.A. Spandidos |
record_format | MEDLINE/PubMed |
spelling | pubmed-58549372018-03-21 Trends in the epidemiology of purple urine bag syndrome: A systematic review Yang, Hsiu-Wu Su, Yu-Jang Biomed Rep Articles Purple urine bag syndrome (PUBS) is rarely observed in clinical practice. The present study aimed to identify the epidemiological trends in PUBS in recent decades. A search of PubMed articles published between 1980 October and 2016 August was conducted, in which 106 articles (174 cases) described PUBS. Of these cases, 58 cases were excluded: 14 cases without mention of gender, 4 cases without description of age, 37 cases without mention of white blood cell (WBC) count, shock status, fever status or description of etiology, and 3 cases without information on mortality. The remaining 116 PUBS cases were collected and analyzed in the present study. The articles were divided into three groups by publication year: 1991 to 2000, 2001 to 2010 and 2011 to 2016. The χ(2) test was used for statistical analysis, with P<0.05 (two-tailed) defined as the threshold for significance. Of the total enrolled cases, there were 47 men (40.5%) and 69 women (59.5%), with a mean age ± standard deviation of 75.6±12.8 years. Of these, 98 cases (84.5%) were elderly (≥65 years old). A total of 93.1% of cases had a urine pH >7 while 6.9% of cases had acidic urine (pH <7). Furthermore, although WBC count elevated progressively, the mortality rate of patients with PUBS decreased over subsequent decades. This necessitates the advancement of antibiotics and application of early goal-directed therapy. Additionally, the overall mortality rate of PUBS (1980–2016) was 6.8%, which decreased to 4.3% in the last 5 years (2011–2016). In conclusion, although PUBS has previously been considered a benign process in the majority of indwelling catheterized patients, emphasis is required on early examination and aggressive antibiotic administration. D.A. Spandidos 2018-03 2018-01-23 /pmc/articles/PMC5854937/ /pubmed/29564123 http://dx.doi.org/10.3892/br.2018.1046 Text en Copyright: © Yang et al. This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License (https://creativecommons.org/licenses/by-nc-nd/4.0/) , which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made. |
spellingShingle | Articles Yang, Hsiu-Wu Su, Yu-Jang Trends in the epidemiology of purple urine bag syndrome: A systematic review |
title | Trends in the epidemiology of purple urine bag syndrome: A systematic review |
title_full | Trends in the epidemiology of purple urine bag syndrome: A systematic review |
title_fullStr | Trends in the epidemiology of purple urine bag syndrome: A systematic review |
title_full_unstemmed | Trends in the epidemiology of purple urine bag syndrome: A systematic review |
title_short | Trends in the epidemiology of purple urine bag syndrome: A systematic review |
title_sort | trends in the epidemiology of purple urine bag syndrome: a systematic review |
topic | Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5854937/ https://www.ncbi.nlm.nih.gov/pubmed/29564123 http://dx.doi.org/10.3892/br.2018.1046 |
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