Factors associated with the recurrence of acute pyelonephritis caused by extended-spectrum β-lactamase–producing Escherichia coli: the importance of infectious disease consultation

Si Ho Kim; Kyungmin Huh; Sun Young Cho; Cheol In Kang; Doo Ryeon Chung; Kyong Ran Peck

doi:10.1016/j.diagmicrobio.2018.11.019

Factors associated with the recurrence of acute pyelonephritis caused by extended-spectrum β-lactamase–producing Escherichia coli: the importance of infectious disease consultation

Si Ho Kim, Kyungmin Huh, Sun Young Cho, Cheol In Kang, Doo Ryeon Chung, Kyong Ran Peck

Department of Internal Medicine

Sungkyunkwan University

Research output: Contribution to journal › Article › peer-review

7 Scopus citations

Abstract

To investigate factors for the recurrence of acute pyelonephritis (APN) caused by extended-spectrum β-lactamase–producing Escherichia coli (ESBL-PE), a retrospective cohort study was performed at a tertiary-care hospital from 2014 through 2016. Among 135 patients who had recovered from APN caused by ESBL-PE, the 1-year cumulative recurrence rates of APN caused by any pathogen or by ESBL-PE specifically were 35.6% and 22.1%, respectively. In a multivariate analysis, infectious disease (ID) consultation was associated with decreased recurrence (95% confidence interval [CI] = 0.24–0.96, P = 0.038 for recurrence caused by any pathogen; and 95% CI = 0.15–0.84, P = 0.019 for recurrence caused by ESBL-PE). History of APN within 1 year was a risk factor for recurrent APN caused by any pathogen (P = 0.011). Microbiological cure was a preventive factor for recurrent APN caused by ESBL-PE (P = 0.024). In conclusion, our data show that ID consultation protects against APN recurrence caused by ESBL-PE.

Original language	English
Pages (from-to)	55-59
Number of pages	5
Journal	Diagnostic Microbiology and Infectious Disease
Volume	94
Issue number	1
DOIs	https://doi.org/10.1016/j.diagmicrobio.2018.11.019
State	Published - May 2019

Keywords

Acute pyelonephritis
Extended-spectrum β-lactamase
Recurrence

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10.1016/j.diagmicrobio.2018.11.019

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Kim, S. H., Huh, K., Cho, S. Y., Kang, C. I., Chung, D. R., & Peck, K. R. (2019). Factors associated with the recurrence of acute pyelonephritis caused by extended-spectrum β-lactamase–producing Escherichia coli: the importance of infectious disease consultation. Diagnostic Microbiology and Infectious Disease, 94(1), 55-59. https://doi.org/10.1016/j.diagmicrobio.2018.11.019

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title = "Factors associated with the recurrence of acute pyelonephritis caused by extended-spectrum β-lactamase–producing Escherichia coli: the importance of infectious disease consultation",

abstract = "To investigate factors for the recurrence of acute pyelonephritis (APN) caused by extended-spectrum β-lactamase–producing Escherichia coli (ESBL-PE), a retrospective cohort study was performed at a tertiary-care hospital from 2014 through 2016. Among 135 patients who had recovered from APN caused by ESBL-PE, the 1-year cumulative recurrence rates of APN caused by any pathogen or by ESBL-PE specifically were 35.6\% and 22.1\%, respectively. In a multivariate analysis, infectious disease (ID) consultation was associated with decreased recurrence (95\% confidence interval [CI] = 0.24–0.96, P = 0.038 for recurrence caused by any pathogen; and 95\% CI = 0.15–0.84, P = 0.019 for recurrence caused by ESBL-PE). History of APN within 1 year was a risk factor for recurrent APN caused by any pathogen (P = 0.011). Microbiological cure was a preventive factor for recurrent APN caused by ESBL-PE (P = 0.024). In conclusion, our data show that ID consultation protects against APN recurrence caused by ESBL-PE.",

keywords = "Acute pyelonephritis, Extended-spectrum β-lactamase, Recurrence",

author = "Kim, \{Si Ho\} and Kyungmin Huh and Cho, \{Sun Young\} and Kang, \{Cheol In\} and Chung, \{Doo Ryeon\} and Peck, \{Kyong Ran\}",

note = "Publisher Copyright: {\textcopyright} 2018 Elsevier Inc.",

year = "2019",

month = may,

doi = "10.1016/j.diagmicrobio.2018.11.019",

language = "English",

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Kim, SH , Huh, K , Cho, SY , Kang, CI , Chung, DR & Peck, KR 2019, 'Factors associated with the recurrence of acute pyelonephritis caused by extended-spectrum β-lactamase–producing Escherichia coli: the importance of infectious disease consultation', Diagnostic Microbiology and Infectious Disease, vol. 94, no. 1, pp. 55-59. https://doi.org/10.1016/j.diagmicrobio.2018.11.019

Factors associated with the recurrence of acute pyelonephritis caused by extended-spectrum β-lactamase–producing Escherichia coli: the importance of infectious disease consultation. / Kim, Si Ho ; Huh, Kyungmin ; Cho, Sun Young et al.
In: Diagnostic Microbiology and Infectious Disease, Vol. 94, No. 1, 05.2019, p. 55-59.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - Factors associated with the recurrence of acute pyelonephritis caused by extended-spectrum β-lactamase–producing Escherichia coli

T2 - the importance of infectious disease consultation

AU - Kim, Si Ho

AU - Huh, Kyungmin

AU - Cho, Sun Young

AU - Kang, Cheol In

AU - Chung, Doo Ryeon

AU - Peck, Kyong Ran

PY - 2019/5

Y1 - 2019/5

N2 - To investigate factors for the recurrence of acute pyelonephritis (APN) caused by extended-spectrum β-lactamase–producing Escherichia coli (ESBL-PE), a retrospective cohort study was performed at a tertiary-care hospital from 2014 through 2016. Among 135 patients who had recovered from APN caused by ESBL-PE, the 1-year cumulative recurrence rates of APN caused by any pathogen or by ESBL-PE specifically were 35.6% and 22.1%, respectively. In a multivariate analysis, infectious disease (ID) consultation was associated with decreased recurrence (95% confidence interval [CI] = 0.24–0.96, P = 0.038 for recurrence caused by any pathogen; and 95% CI = 0.15–0.84, P = 0.019 for recurrence caused by ESBL-PE). History of APN within 1 year was a risk factor for recurrent APN caused by any pathogen (P = 0.011). Microbiological cure was a preventive factor for recurrent APN caused by ESBL-PE (P = 0.024). In conclusion, our data show that ID consultation protects against APN recurrence caused by ESBL-PE.

AB - To investigate factors for the recurrence of acute pyelonephritis (APN) caused by extended-spectrum β-lactamase–producing Escherichia coli (ESBL-PE), a retrospective cohort study was performed at a tertiary-care hospital from 2014 through 2016. Among 135 patients who had recovered from APN caused by ESBL-PE, the 1-year cumulative recurrence rates of APN caused by any pathogen or by ESBL-PE specifically were 35.6% and 22.1%, respectively. In a multivariate analysis, infectious disease (ID) consultation was associated with decreased recurrence (95% confidence interval [CI] = 0.24–0.96, P = 0.038 for recurrence caused by any pathogen; and 95% CI = 0.15–0.84, P = 0.019 for recurrence caused by ESBL-PE). History of APN within 1 year was a risk factor for recurrent APN caused by any pathogen (P = 0.011). Microbiological cure was a preventive factor for recurrent APN caused by ESBL-PE (P = 0.024). In conclusion, our data show that ID consultation protects against APN recurrence caused by ESBL-PE.

KW - Acute pyelonephritis

KW - Extended-spectrum β-lactamase

KW - Recurrence

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DO - 10.1016/j.diagmicrobio.2018.11.019

M3 - Article

C2 - 30642718

AN - SCOPUS:85059746878

SN - 0732-8893

VL - 94

SP - 55

EP - 59

JO - Diagnostic Microbiology and Infectious Disease

JF - Diagnostic Microbiology and Infectious Disease

IS - 1

ER -

Factors associated with the recurrence of acute pyelonephritis caused by extended-spectrum β-lactamase–producing Escherichia coli: the importance of infectious disease consultation

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