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- W3029129029 abstract "ObjectiveTo analyze the epidemiology and bacterial spectrum of 459 cases of acute pyelonephritis in jiangning area.Methods459 cases of acute pyelonephritis in patients were retrospectively analyzed with pathogenic bacteria, drug sensitive analysis, and use of antimicrobial agents. At the same time the patient’s age, gender, hospitalization days, presence of urinary tract complications, whether combined liver damage and or acute kidney injury, blood culture and drug susceptibility, middle urine culture and drug susceptibility were collected, According to diabetes mellitus and different annual, they were analysed and compared.ResultsThe study included 459 patients who met the criteria, including 65 males (14.16%) and 394 females (85.84%). A total of 81 patients with nondiabetes mellitus group (17.65%), a total of 378 patients with diabetes mellitus group (82.35%) and in patients with diabetes group average hospitalization day blood culture positive rate as well as the combination of liver injury and (or) kidney injury complications were higher than in non diabetes mellitus group (P 0.05). In recent years, there was no obvious change in the positive rate of middle segment urine culture in patients with acute pyelonephritis in our hospital, but the positive rate of blood culture increased year by year, and the positive rate of blood culture increased from 3.13% to 13.13%.From 2011 to 2013, the rate of multi-drug-resistant bacteria in the middle segment of urine culture gradually increased to 55.56%, and gradually decreased to 30.43% from 2014 to 2016.ConclusionsThe incidence of acute pyelonephritis was high in women.Diabetes mellitus patients with acute pyelonephritis were in hospital for a long time, more prone to sepsis and acute kidney injury and/or liver damage, and diabetes mellitus in patients with acute renal pelvis pelvis were more prone to drug-resistant bacteria infection; In recent years, with the rational use of antibiotics, the multi-drug resistance rate gradually decreased.Key words: Acute pyelonephritis; Epidemiology; Bacteria spectrum" @default.
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- W3029129029 date "2018-11-20" @default.
- W3029129029 modified "2023-09-25" @default.
- W3029129029 title "Epidemiology and bacterial spectrum analysis of 459 cases of acute pyelonephritis" @default.
- W3029129029 doi "https://doi.org/10.3760/cma.j.issn.1673-4238.2018.06.008" @default.
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