由于阻塞性石头引起的泌尿毒症:来自瑞典基于人口的研究的流行病学数据
Hjalmar Svensson1,2, Lars Grenabo1, Klas Lindqvist1,3
1Department of Urology, Sahlgrenska Academy University of Gothenburg Gothenburg Sweden.
BJUI compass
|February 18, 2026
概括
由尿路结石引起的尿路感染是危及生命的,特别是在老年人中. 这种情况需要重症监护,在严重的情况下可能是致命的,突出需要更好的流行病学数据.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 传染性疾病 传染性疾病
- 流行病学 流行病学
背景情况:
- 尿路结石的次要性尿路感染 (UTI) 是一个严重的健康问题.
- 关于阻塞性尿路感染的发病率和临床过程的流行病学研究很少.
研究的目的:
- 描述尿路结石阻塞引起的尿路感染的基于人口的发病率,流行病学和临床结果.
- 提供关于危及生命的疾病的数据,事先的流行病学报告有限.
主要方法:
- 使用瑞典国家患者登记册和当地医院数据库进行的回顾性队列研究.
- 已识别的成年患者具有国际疾病分类第十次修订的尿病和尿路感染的代码.
- 分析了两年来315名患者的数据,不包括那些正在接受治疗,没有明显的感染或没有阻塞的患者.
主要成果:
- 急性阻塞性尿路感染的发病率为每年每10万居民11.8例.
- 患者的中位数年龄为68岁,其中56%为女性.
- 16%需要接受ICU治疗,3%的人死亡,死亡归因于败血症或治疗延迟.
结论:
- 急性阻塞性尿路感染主要影响老年人群.
- 临床过程是可变的,严重的病例需要重症监护,并带有死亡风险.
- 这些发现强调了这种情况的严重程度和流行病学意义.
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