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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...

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Autores principales: Yang, Hsiu-Wu, Su, Yu-Jang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: D.A. Spandidos 2018
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.
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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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