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• W3133168979 abstract "<h2>Abstract</h2><h3>Background</h3> 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. <h3>Methods</h3> 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. <h3>Results</h3> 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, <i>P</i> < 0.001), had a higher Charlson comorbidity index (1.3 ± 1.5 vs. 0.7 ± 1.2, <i>P</i> = 0.027), and had a higher proportion of structural problems in the urinary tract (40.7% vs. 6.1%, <i>P</i> < 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, <i>P</i> = 0.001) and the proportion of carbapenem usage was higher (24.1% vs. 9.5%, <i>P</i> = 0.001) in men than in women. Male patients were hospitalized for longer durations than female patients (median, 10 d vs. 7 d, <i>P</i> < 0.001). <h3>Conclusions</h3> 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." @default.
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• W3133168979 date "2021-07-01" @default.
• W3133168979 modified "2023-10-16" @default.
• W3133168979 title "Comparison of the clinical characteristics of community-acquired acute pyelonephritis between male and female patients" @default.
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• W3133168979 doi "https://doi.org/10.1016/j.jiac.2021.02.014" @default.
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