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肠球菌泌尿道感染的危险因素:一项多国家、回顾性队列研究。

Risk factors for enterococcal urinary tract infections: a multinational, retrospective cohort study.

机构信息

Department of Medicine E, Beilinson Hospital, Rabin Medical Center, 39 Jabotinsky Road, 49100, Petah-Tikva, Israel.

Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

出版信息

Eur J Clin Microbiol Infect Dis. 2021 Sep;40(9):2005-2010. doi: 10.1007/s10096-021-04207-4. Epub 2021 Mar 2.

Abstract

Complicated urinary tract infection (cUTI) is a frequent cause of morbidity. In this multinational retrospective cohort study, we aimed to demonstrate risk factors for enterococcal UTI. Univariate and multivariate analyses of risk factors for enterococcal infection were performed. Among 791 hospitalized patients with cUTI, enterococci accounted for approximately 10% of cases (78/791). Risk factors for enterococcal UTI in multivariable analysis were male gender, age range of 55-75 years, catheter-associated UTI, and urinary retention. This information may assist treating physicians in their decision-making on prescribing empiric anti-enterococcus treatment to hospitalized patients presenting with cUTI and thus improve clinical outcomes.

摘要

复杂性尿路感染(cUTI)是发病率较高的疾病。在这项多中心回顾性队列研究中,我们旨在探讨肠球菌尿路感染的危险因素。对肠球菌感染的危险因素进行了单因素和多因素分析。在 791 例复杂性尿路感染住院患者中,肠球菌约占 10%(78/791)。多变量分析中肠球菌尿路感染的危险因素为男性、55-75 岁年龄组、导管相关尿路感染和尿潴留。这些信息可能有助于治疗医生在为患有 cUTI 的住院患者开具经验性抗肠球菌治疗方案时做出决策,从而改善临床结局。

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