1374 EFFECTS OF DM ON TREATMENT PROGNOSIS IN ACUTE PYELONEPHRITIS

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You have accessJournal of UrologyInfections/Inflammation of the Genitourinary Tract: Kidney & Bladder1 Apr 20111374 EFFECTS OF DM ON TREATMENT PROGNOSIS IN ACUTE PYELONEPHRITIS Sung Jin Yim, Young Sam Cho, Kwangchon Ko, Kwan Joong Joo, Heung Jae Park, and Chil Hun Kwon Sung Jin YimSung Jin Yim Seoul, Korea, Republic of More articles by this author , Young Sam ChoYoung Sam Cho Seoul, Korea, Republic of More articles by this author , Kwangchon KoKwangchon Ko Seoul, Korea, Republic of More articles by this author , Kwan Joong JooKwan Joong Joo Seoul, Korea, Republic of More articles by this author , Heung Jae ParkHeung Jae Park Seoul, Korea, Republic of More articles by this author , and Chil Hun KwonChil Hun Kwon Seoul, Korea, Republic of More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2011.02.1198AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Diabetes mellitus (DM) is a major risk factor for the urogenital tract infections and is known to arouse serious complications such as emphysematous pyelonephritis. The authors have set to find out the influences of DM and the controlling degrees on the treatment prognosis for females with actue pyelonephritis (APN), using the HbA1c (hemoglobin A1c) test. METHODS Among the female patients who have received inpatient care due to APN from January 2007 to December 2009, we selected a total of 225 patients and analyzed medical records. We excluded those patients with urinary tract stones or anatomical abnormalities of urinary tract. We compared the age, duration of fever and hospital stay, positive rates in kidney ultrasonography (US) and most common organism in urine culture in patients with and without DM. Further analysis performed in DM patients according to normal or abnormal HbA1c test. RESULTS The mean age of patients with and without DM were 58.6±14.2 and 38.4±13.3 years, respectively. There were no significant differences in the positive rates of APN in kidney US, the mean duration of fever and hospital stay between the two groups (Table). However, the mean duration of fever in patients with normal HbA1c (2.4±1.2 days) was significantly shorter than that in patients with abnormal HbA1c (3.3±1.6 days) (p=0.045, chi-square test). The duration of hospital stay was also significantly shorter in the normal HbA1c group (6.6±1.5 days) than that in the abnormal HbA1c group (9.7±3.4 days, p=0.03). The positive rates of APN in kidney US was not statistically significant according to normal and abnormal HbA1c (53.6% vs 62.5%, p=0.565). Escherichia coli was the most common microorganism found in both groups (51.4% in no DM group, 63.6% in DM group). CONCLUSIONS In the APN patients with DM, abnormal HbA1c group showed longer duration of fever and hospital stay when compared to normal HbA1c group. This suggests that the HbA1c could be a prognostic factor of APN in DM patients. © 2011 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 185Issue 4SApril 2011Page: e548 Advertisement Copyright & Permissions© 2011 by American Urological Association Education and Research, Inc.MetricsAuthor Information Sung Jin Yim Seoul, Korea, Republic of More articles by this author Young Sam Cho Seoul, Korea, Republic of More articles by this author Kwangchon Ko Seoul, Korea, Republic of More articles by this author Kwan Joong Joo Seoul, Korea, Republic of More articles by this author Heung Jae Park Seoul, Korea, Republic of More articles by this author Chil Hun Kwon Seoul, Korea, Republic of More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...