Comparison of the clinical characteristics of community-acquired acute pyelonephritis between male and female patients
- Authors
- Jang, W; Jo, H.-U.; Kim, B.; Kwon, KT; Ryu, SY; Wie, SH; Kim, J; Park, SY; Hong, KW; Kim, HI; Kim, HA; Kim, MH; Bae, MH; Sohn, YH; Lee, Y; Pai, Hyun joo
- Issue Date
- Jul-2021
- Publisher
- Elsevier Limited
- Keywords
- Korea; Male; Pyelonephritis; Urinary tract infection
- Citation
- Journal of Infection and Chemotherapy, v.27, no.7, pp.1013 - 1019
- Indexed
- SCIE
SCOPUS
- Journal Title
- Journal of Infection and Chemotherapy
- Volume
- 27
- Number
- 7
- Start Page
- 1013
- End Page
- 1019
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/141585
- DOI
- 10.1016/j.jiac.2021.02.014
- ISSN
- 1341-321X
- Abstract
- Background: Community-acquired acute pyelonephritis (CA-APN) is relatively rare in men. This study aimed to compare the clinical characteristics of CA-APN between male and female patients.
Methods: We prospectively collected the clinical and microbiological data of hospitalized CA-APN patients aged ≥19 years in South Korea from March 2010 to February 2011 in 11 hospitals and from September 2017 to August 2018 in 8 hospitals. Only the first episodes of APN of each patient during the study period were included.
Results: From 2010 to 2011, 573 patients from 11 hospitals were recruited, and from 2017 to 2018, 340 patients were recruited from 8 hospitals. Among them, 5.9% (54/913) were male. Male patients were older (66.0 ± 15.2 vs. 55.3 ± 19.0 years, P < 0.001), had a higher Charlson comorbidity index (1.3 ± 1.5 vs. 0.7 ± 1.2, P = 0.027), and had a higher proportion of structural problems in the urinary tract (40.7% vs. 6.1%, P < 0.001) than female patients. Moreover, the total duration of antibiotic treatment was longer (21.8 ± 17.8 d vs. 17.3 ± 9.4 d, P = 0.001) and the proportion of carbapenem usage was higher (24.1% vs. 9.5%, P = 0.001) in men than in women. Male patients were hospitalized for longer durations than female patients (median, 10 d vs. 7 d, P < 0.001).
Conclusions: Male CA-APN patients were older and had more comorbidities than female CA-APN patients. In addition, male patients received antibiotic treatment for a longer duration than female patients.
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