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Published on: December 4, 2020
Risk Factors for Urinary Tract Infection in Gynecological Malignant Tumor Inpatients: A Retrospective Study
Min Qiu1, Heming Wu2, Yun Liu3
1Department of Public Health and Infection Control, Meizhou People's Hospital, Meizhou Academy of Medical Sciences, Meizhou, People's Republic of China.
Urinary tract infections (UTIs) are common in gynecological cancer patients. Key risk factors include prolonged catheter use, fewer deliveries, and obesity, aiding targeted prevention strategies.
Area of Science:
- Oncology
- Infectious Diseases
- Epidemiology
Background:
- Urinary tract infections (UTIs) are a significant complication in hospitalized patients with gynecological malignancies.
- UTIs can lead to treatment delays, extended hospital stays, increased costs, and severe systemic infections.
Purpose of the Study:
- To determine the incidence of UTIs among hospitalized patients with gynecological malignancies.
- To identify risk factors associated with UTIs in this patient population to inform prevention and management.
Main Methods:
- Retrospective analysis of 659 hospitalized patients with gynecological malignant tumors.
- Data collected included demographics, tumor characteristics, treatment details, and infection status.
- Univariate and multivariate logistic regression analyses were employed to identify risk factors.
Main Results:
- The overall incidence of UTI was 6.5% (43/659).
- Independent risk factors identified were: indwelling catheterization for ≥7 days (OR=4.48), fewer than 2 deliveries (OR=2.46), and obesity (BMI≥28) (OR=3.32).
- Cervical cancer was the most common malignancy (44.2%).
Conclusions:
- Indwelling catheterization for 7 days or more is a significant risk factor for UTIs in gynecological cancer patients.
- Fewer than 2 deliveries and obesity are also independently associated with increased UTI risk.
- These findings support targeted prevention strategies for high-risk individuals.
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