43,653 results match your criteria: "Urinary Tract Infection Females"

Exploring factors influencing delirium incidence: Insights from the Alzira cohort study, 2012-2021.

Rev Esp Geriatr Gerontol

October 2024

Geriatric Medicine Department, Hospital Universitario de la Ribera, Carretera de Corbera km. 1, 46600 Alzira, Spain; Medical School, Universidad Católica de Valencia Sant Vicent Màrtir, 46001 Valencia, Spain; Centro de Investigación Biomédica en Red Fragilidad y Envejecimiento Saludable (CIBERFES), 28029 Madrid, Spain.

Introduction: Hip fractures are a common pathology among older adults, often accompanied by significant complications such as delirium, a geriatric syndrome associated with prolonged hospitalization, reduced functional recovery, and decreased overall survival rates. This study aims to determine the incidence of delirium and its correlation with various factors during hospitalization, as well as its impact on short-, medium-, and long-term survival.

Methodology: A retrospective cohort study was undertaken to examine hospital admissions of individuals aged 70 years or older diagnosed with hip fractures at the Hospital Universitario La Ribera in Alzira, Valencia, from January 2012 to December 2021.

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Access to hygiene facilities and experiences of hygiene-related disease: A pilot study of unsheltered individuals in Tucson, Arizona.

Hyg Environ Health Adv

September 2024

Department of Community, Environment & Policy, Zuckerman College of Public Health, University of Arizona, 1295N Martin Ave A233, Tucson, AZ 85719, United States.

Unsheltered individuals have limited access to restroom facilities. With this, many unsheltered individuals are forced to urinate, defecate, and engage in other hygiene practices outdoors. They may also lack access to necessary hygiene toiletries or wait to urinate or defecate until they are able to gain access to a facility.

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Recurrent bladder malakoplakia: A rare bladder lesion mimicking malignancy.

Bladder (San Franc)

November 2024

Department of Pathology and Laboratory Medicine, Brantford General Hospital, Brantford, Ontario N3R 1G9, Canada.

Background: Malakoplakia is a rare granulomatous disease that commonly involves the genitourinary tract with the urinary bladder being the most frequently affected site. It is characterized by histiocytes containing distinct basophilic calcified inclusions called Michaelis-Gutmann bodies. It is believed to result from abnormally functioning macrophages, with inclusions representing calcifications around incompletely digested bacteria.

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Aims: This study aims to assess the diagnostic accuracy of diffusion-weighted Magnetic Resonance Imaging (DW-MRI) and determine the inter-reader agreement between two expert radiologists in detecting pyelonephritic foci during the initial episode of febrile urinary tract infection (fUTI) in children aged 0-5 years. Also, we aim to establish the correlation between clinical data and DW-MRI findings.

Methods: Children aged 0-5 years presenting with their first episode of fUTI were included in the study and underwent DW-MRI and Ultrasound (US) examinations within 72 h of admission.

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Objective: Rapid and accurate infection diagnosis is a prerequisite for appropriate antibiotic prescriptions in an ED. Accurately diagnosing acute infections can be difficult due to nonspecific symptoms and limitations of diagnostic testing. The accuracy of preliminary diagnoses, established on the initial clinical assessment, depends on a physician's skills and knowledge.

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Does prophylactic tamsulosin use with ERAS protocol provide improvement after colorectal surgery?

Am J Surg

November 2024

Department of Colorectal Surgery, Digestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, OH, USA. Electronic address:

Introduction: Early urinary catheter removal has been incorporated into Enhanced Recovery After Surgery (ERAS) pathways to aid faster recovery and minimize urinary tract infection. However, early catheter removal can result in urinary retention, which may lead to catheter reinsertion and a prolonged hospital stay. Tamsulosin, an alpha-blocking medication, effectively treats urinary retention in both men and women.

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Introduction: Hospitalisations can pose hazards and may not be an appropriate care setting for frail nursing home (NH) residents. Few studies have quantified the extent of NH resident hospitalisations in Singapore, hence we aimed to address this knowledge gap by studying characteristics of unplanned hospitalisations over a 1-year period.

Method: This was a retrospective cohort study of 9922 subsidised residents across 59 NHs in Singapore, with analysis using administrative healthcare data.

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Strategies to reduce 28-day mortality in adult patients with bacteremia in the emergency department.

BMC Infect Dis

December 2024

Division of Infectious Diseases and Microbiology, Jewish General Hospital, 3755 Chemin de La Cote-Sainte-Catherine, Montreal, QC, H3T 1E2, Canada.

Article Synopsis
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Background: Paediatric hydronephrosis frequently necessitates surgical intervention. However, postoperative urinary tract infections (UTIs) are common and challenging. This retrospective cohort study aimed to identify UTI risk factors following an operation for paediatric hydronephrosis.

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Article Synopsis
  • Poor muscle health, indicated by the normalized total psoas area (NTPA), is linked to negative recovery outcomes in spinal deformity surgery, which is a gap in current research.
  • The study aims to explore how NTPA correlates with patient mobility and the incidence of adverse events (AEs) post-surgery by analyzing data from 279 patients over a nine-year period.
  • Results include assessing postoperative ambulation and complications like urinary issues and delayed healing, using data from MRI to establish cut-off values for NTPA related to patient recovery.
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Antibiotic Overprescription for "Urinary Tract Infections" Is Associated With Poor Diagnostic Stewardship and Low Adherence to Guidelines.

Neurourol Urodyn

December 2024

Departments of Urology and Obstetrics and Gynecology, Division of Female Pelvic Medicine and Reconstructive Surgery, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.

Article Synopsis
  • * An analysis of patient records showed that 64% of those diagnosed with a UTI received antibiotics, despite only 28% displaying actual symptoms; emergency room patients were especially overtreated.
  • * The findings highlight the concerning trend of overdiagnosis and overtreatment of UTIs, particularly in acute care settings, which could exacerbate antibiotic resistance and compromise patient evaluation.
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  • * The study identified seasonal trends in adverse events like dehydration, cerebral infarction, urinary tract infections, and ketoacidosis linked to six SGLT2 inhibitors prescribed in Japan.
  • * Findings showed dehydration-related issues were most common in summer and winter, with a peak for cerebral infarction in February, suggesting healthcare professionals should be vigilant about dehydration risks throughout the year.
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Context: Urinary incontinence (UI) in the powerlifting community has been a hot topic due to its noticeability during competition and the burden it places on female athletes who experience it. UI is even experienced in those we least expect: young, high-performing, females with no history of pregnancy. Current studies have utilized primarily survey methodology, thus there is a lack of clinical information on this topic.

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Article Synopsis
  • * Over 16,000 patients were screened, revealing a high prevalence of CI (37.8%) and a significantly higher rate of hospital-acquired complications (HACs) in those with CI, but the intervention did not lead to a significant reduction in HAC rates.
  • * The results showed variations in the program’s implementation across hospitals, and despite some slight overall reductions in HAC rates, these changes were not statistically significant, suggesting the need for further refinement in intervention strategies.
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Objectives: Do weekly prophylactic saline or acidic catheter washouts in addition to standard long-term catheter (LTC) care improve the outcomes of adults with LTC compared with standard LTC care only.

Design: Three-arm superiority open-label randomised controlled trial.

Setting: UK community-based study.

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Risk of pneumonia among children with cleft palate before and after palatoplasty: a population-based study.

Eur J Pediatr

December 2024

Faculty of Health Sciences, Department of Plastic Surgery, Soroka University Medical Center, Ben-Gurion University of the Negev, Be'er Sheva, Israel.

Unlabelled: Pneumonia remains the primary cause of mortality among children under age 5. Cleft palate (CP) poses various challenges including velopharyngeal disfunction, potentially increasing rates of pneumonia. However, clinical evidence linking pneumonia to defect is lacking.

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 The modified five-factor frailty index (mFI-5) is a better predictor than age alone of increased risk of extended length of stay (LOS) and postoperative complications in patients undergoing total wrist arthrodesis (TWA).  The National Inpatient Sample database was queried for patients undergoing elective TWA. Patients were identified using the International Classification of Diseases, 10th Revision procedure codes, excluding nonelective cases, hardware removal, and patients with cerebral palsy or seizure disorders.

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Article Synopsis
  • Tropical spastic paraparesis (TSP), caused by HTLV-1, leads to chronic spinal cord inflammation primarily affecting lower limbs, but serious complications can arise in rare cases.
  • A 73-year-old female with TSP presented with severe health issues, including acute respiratory failure, after suffering from sepsis due to recurrent urinary tract infections.
  • The case highlights the need for more research on respiratory management in TSP patients, as complications like poor secretion clearance can significantly impact their health outcomes.
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  • The study aimed to investigate the presence of virulence genes in Proteus mirabilis and Proteus vulgaris strains obtained from patients with diabetic foot infections (DFIs) and urinary tract infections (UTIs).
  • A total of 78 isolates were analyzed, with the majority being identified through a specialized mass spectrometry technique and the presence of specific virulence genes assessed using PCR.
  • Results indicated that most virulence genes were more commonly found in UTI isolates compared to DFI isolates, highlighting potential differences in the pathogenicity of these bacteria in different infection types.
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Article Synopsis
  • The study aimed to analyze nosocomial (hospital-acquired) infections among inpatients, specifically focusing on their trends and antibiotic usage to support effective prevention strategies.
  • The research involved a cross-sectional survey using a nosocomial infection surveillance system, compiling and statistically evaluating data from the past five years (2017-2021).
  • Findings revealed a 2.28% average prevalence of these infections, predominantly in the lower respiratory and urinary tracts, with Gram-negative bacteria being the most common pathogens; however, despite the low prevalence, intensified prevention measures are recommended for certain infection types.
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Article Synopsis
  • Premature rupture of membranes (PROM) contributes to higher risks of death and health issues in newborns, making it critical to identify its influencing factors.
  • * A study was conducted at three public hospitals in Northeast Ethiopia involving 353 women in labor to explore the factors associated with PROM between December 2022 and March 2023.
  • * Key determinants identified included a history of cesarean sections, abortions, previous PROM, chronic cough, malnutrition, suspected sepsis, and urinary tract infections, emphasizing the importance of thorough prenatal care.
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