Factores asociados a la reconsulta en urgencias en la prostatitis aguda bacteriana / Factors associated with emergency department revisits for acute bacterial prostatitis
Emergencias (St. Vicenç dels Horts)
; 29(2): 105-108, abr. 2017. tab
Article
in Spanish
| IBECS
| ID: ibc-161662
Responsible library:
ES1.1
Localization: BNCS
RESUMEN
Objetivo:
Analizar los factores asociados a la reconsulta del paciente con prostatitis aguda bacteriana (PAB) atendido en el servicio de urgencias hospitalario (SUH).Método:
Estudio analítico de cohorte observacional con seguimiento prospectivo de las PAB atendidas en el SUH durante un año.Resultados:
Se registraron 241 episodios de PAB. La edad media fue de 63 (DE 16) años. Presentaron disuria el 73%, fiebre el 64% y antecedentes de cáncer, manipulación previa de la vía urinaria o adenoma prostático entre el 15,4- 22,4%. El 48,1% de los urocultivos y el 17,6% de los hemocultivos resultaron positivos. Escherichia coli fue el aislamiento mayoritario, presentando con resistencias en el 27,7% a ciprofloxacino y amoxicilina/clavulánico. A los 30 días reconsultaron 29 pacientes (12%). El tacto rectal, con odss ratio (OR) 9,23 (IC 95% 1,12-75,82), y la bacteriemia, con OR de 3,81 (IC 95% 1,31-11,04), fueron las únicas variables asociadas a la reconsulta (p < 0,05).Conclusiones:
Los factores relacionados con la reconsulta del enfermo con PBA fueron la presencia de bacteriemia y el tacto rectal (AU)ABSTRACT
Objective:
To analyze factors associated with revisits by patients with acute bacterial prostatitis treated in a hospital emergency department.Methods:
Descriptive analysis and prospective follow-up of a cohort of patients with acute bacterial prostatitis treated in an emergency department.Results:
We included 241 episodes of acute bacterial prostatitis. The mean (SD) age was 63 (16) years. Seventy-three percent reported dysuria, 64% had fever, and between 15.4% and 22.4% had medical histories of cancer, urethral/bladder catheterization, or prostate adenoma. Positive urine cultures were obtained for 48.1% and positive blood cultures for 17.6%. Escherichia coli was the bacterium isolated most often, and 27.7% of the cultures showed resistance to ciprofloxacin and amoxicillin-clavulanic acid. Twenty-nine patients (12%) revisited within 30 days. The only factors associated with revisiting were performance of a rectal examination (odds ratio [OR], 9.23; 95% CI, 1.12-75.82) and bacteremia (OR, 3.81; 95% CI, 1.31-11.04) (P<.05).Conclusion:
Factors associated with revisiting for acute bacterial prostatitis were bacteremia and performance of a rectal examination (AU)
Full text:
Available
Collection:
National databases
/
Spain
Database:
IBECS
Main subject:
Patient Readmission
/
Prostatitis
/
Bacteremia
/
Emergency Treatment
Type of study:
Etiology study
/
Observational study
/
Risk factors
Limits:
Humans
/
Male
Language:
Spanish
Journal:
Emergencias (St. Vicenç dels Horts)
Year:
2017
Document type:
Article
Institution/Affiliation country:
Hospital Universitari de Bellvitge/España