Publications by authors named "A Esparcia"
Aim: This study aimed to evaluate clinically significant sex differences that could have an effect on the choice of treatment and outcomes of urinary tract infection (UTI) in aged 80 and over hospitalized patients with community-acquired UTI.
Methods: This was a prospective study of 161 patients aged 80 and over admitted to hospital with community-acquired UTI. Epidemiological, clinical, laboratory and microbiologic variables were compared between both sexes.
Introduction: Previous studies have described some risk factors for multidrug-resistant (MDR) bacteria in urinary tract infection (UTI). However, the clinical impact of MDR bacteria on older hospitalized patients with community-acquired UTI has not been broadly analyzed. We conducted a study in older adults with community-acquired UTI in order to identify risk factors for MDR bacteria and to know their clinical impact.
View Article and Find Full Text PDFCorticosteroids reduce mortality in hospitalized patients with coronavirus disease 2019 (COVID-19), but the response seems to vary according to the level of respiratory support needed. This retrospective cohort study included COVID-19 patients with oxygen saturation (SatO ) in room air <92% admitted between March 3 and April 30, 2020. Following the interim protocol, patients could receive dexamethasone or methylprednisolone, and were classified according to oxygen requirements.
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- - The study aimed to identify risk factors for complicated Enterococcus faecalis urinary tract infections (UTIs) in older patients, as these are not well understood, involving a cohort of 659 patients admitted to the hospital.
- - Results showed that 13.2% of patients had E. faecalis UTI, with a significant proportion experiencing severe sepsis and a higher incidence of inadequate antibiotic treatment compared to Gram-negative UTIs.
- - The authors concluded that elderly patients with urinary catheters or previous urinary tract procedures should receive empirical treatment for E. faecalis to reduce the risk of ineffective antibiotic therapy.
Purpose To know the predictive factors for Pseudomonas aeruginosa (PA) urinary sepsis in hospitalised elderly patients coming from community, the adequacy of empirical antibiotic therapy and its outcomes. Methods Retrospective case-control study conducted between 2007 and 2017. Patients aged 65 years or older with PA urinary sepsis were included as cases.
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