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dc.contributor.authorMadrazo, Manuel
dc.contributor.authorLópez Cruz, Ian
dc.contributor.authorPiles, Laura
dc.contributor.authorArtero, Silvia
dc.contributor.authorAlberola, Juan
dc.contributor.authorAguilera, Juan Alberto
dc.contributor.authorEiros Bouza, José María 
dc.contributor.authorArtero, Arturo
dc.date.accessioned2024-05-16T07:37:53Z
dc.date.available2024-05-16T07:37:53Z
dc.date.issued2023
dc.identifier.citationMicroorganisms, 2023, Vol. 11, Nº. 8, 1995es
dc.identifier.issn2076-2607es
dc.identifier.urihttps://uvadoc.uva.es/handle/10324/67686
dc.descriptionProducción Científicaes
dc.description.abstractBacteremia has been associated with severity in some infections; however, its impact on the prognosis of urinary tract infections (UTIs) is still disputed. Our goal is to determine the risk factors for bacteremia and its clinical impact on hospitalized patients with complicated community-acquired urinary tract infections. We conducted a prospective observational study of patients admitted to the hospital with complicated community-acquired UTIs. Clinical variables and outcomes of patients with and without bacteremia were compared, and multivariate analysis was performed to identify risk factors for bacteremia and mortality. Of 279 patients with complicated community-acquired UTIs, 37.6% had positive blood cultures. Risk factors for bacteremia by multivariate analysis were temperature ≥ 38 °C (p = 0.006, OR 1.3 (95% CI 1.1–1.7)) and procalcitonin ≥ 0.5 ng/mL (p = 0.005, OR 8.5 (95% CI 2.2–39.4)). In-hospital and 30-day mortality were 9% and 13.6%, respectively. Quick SOFA (p = 0.030, OR 5.4 (95% CI 1.2–24.9)) and Barthel Index <40% (p = 0.020, OR 4.8 (95% CI 1.3–18.2)) were associated with 30-day mortality by multivariate analysis. However, bacteremia was not associated with 30-day mortality (p = 0.154, OR 2.7 (95% CI 0.7–10.3)). Our study found that febrile community-acquired UTIs and elevated procalcitonin were risk factors for bacteremia. The outcomes in patients with bacteremia were slightly worse, but without significant differences in mortality.es
dc.format.mimetypeapplication/pdfes
dc.language.isoenges
dc.publisherMDPIes
dc.rights.accessRightsinfo:eu-repo/semantics/openAccesses
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/*
dc.subjectRisk factorses
dc.subjectBacteremiaes
dc.subjectUrinary tract infectionses
dc.subjectVías urinarias - Infeccioneses
dc.subjectUrinario, Aparato - Infeccioneses
dc.subjectUrologyes
dc.subjectMicrobiologyes
dc.subjectPublic healthes
dc.titleRisk factors for bacteremia and Its clinical impact on complicated community-acquired urinary tract infectiones
dc.typeinfo:eu-repo/semantics/articlees
dc.rights.holder© 2023 The authorses
dc.identifier.doi10.3390/microorganisms11081995es
dc.relation.publisherversionhttps://www.mdpi.com/2076-2607/11/8/1995es
dc.identifier.publicationfirstpage1995es
dc.identifier.publicationissue8es
dc.identifier.publicationtitleMicroorganismses
dc.identifier.publicationvolume11es
dc.peerreviewedSIes
dc.identifier.essn2076-2607es
dc.rightsAtribución 4.0 Internacional*
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersiones
dc.subject.unesco3213.16 Urologíaes
dc.subject.unesco32 Ciencias Médicases
dc.subject.unesco2414 Microbiologíaes
dc.subject.unesco3212 Salud Publicaes


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