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Published on: July 18, 2017
[Current issues of epidemiology, etiology, risk factors and predisposing conditions of acute pyelonephritis (review
M I Kogan1, S N Ivanov1,2, Y L Naboka2
1Dept. of Urology and Human Reproductive Health Rostov State Medical University, Rostov-on-Don, Russia.
Insights
Global urinary tract infections (UTIs) are rising, including acute pyelonephritis (AP). Research highlights fragmented data on AP epidemiology, etiology, and risk factors, necessitating updated global research approaches.
Area of Science:
- Nephrology
- Infectious Diseases
- Epidemiology
Background:
- Urinary tract infections (UTIs) are increasing globally.
- Acute pyelonephritis (AP), a severe UTI complication, poses significant health risks.
- Current demographic, etiological, and predisposing factors for AP require updated global assessment.
Purpose of the Study:
- To comprehensively review global literature on AP epidemiology, etiology, and predisposing factors.
- To identify data gaps and fragmentation in existing AP research.
- To establish a foundation for updated research strategies concerning AP.
Main Methods:
- Systematic literature search across major medical databases (Cochrane, MEDLINE/PubMed, eLIBRARY, ClinicalKey).
- Inclusion of 43 sources from the last 10 years, with 31 from the last 5 years.
- Focus on recent, representative studies reflecting current AP prevalence and characteristics.
Main Results:
- Analysis reveals fragmented and limited comparative data on AP incidence across different countries and time periods.
- The study identifies a need for updated research due to evolving disease characteristics and etiological agents.
- Recent literature reflects the current global situation of AP in diverse patient populations and conditions.
Conclusions:
- Existing data on AP epidemiology and etiology is fragmented, hindering comprehensive global understanding.
- The dynamic nature of AP, its causative agents, and influencing factors necessitates updated research approaches.
- Further research is crucial to address the complexities of AP and inform effective public health strategies.
Abstract:
A growing body of research indicates an upward trend in the incidence of urinary tract infections (UTIs) around the world. Acute pyelonephritis (AP), which is dangerous by the development of complex, life-threatening conditions, is no exception. Today the demographic portrait, as well as the characteristics of the causative agents and predisposing conditions of this disease are a global issue for the entire scientific community. In order to assess the data available in the global literature on the issues of epidemiology, etiology and predisposing factors for the development of AP, the search for publications was performed in the medical literature databases The Cochrane Database, MEDLINE/PubMed Database, eLIBRARY, ClinicalKey. The presented material includes, among others, 43 sources over the past 10 years, of which 31 publications over the past 5 years: the largest and most representative studies reflecting the current situation with AP in the population among patients in certain areas and under various exogenous and endogenous conditions. This study opens a series of three reviews on the problem of AP, involving discussion of key aspects of pathogenesis AP. Analysis of the literature indicates fragmentation and limited data when comparing the incidence of AP in different countries and different periods of time. The complexity of the intranosological structure of the varieties of acute pyelonephritis today dictates the advisability of updating approaches to research in this area, and the disease itself dynamically evolves along with its etiological agents, the nature of social behavior of people and environmental conditions in general.
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Acute Pyelonephritis I: Introduction
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