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Predisposing factors of systemic fungal infections of the genitourinary tract

1995; Lippincott Williams & Wilkins; Volume: 154; Issue: 1 Linguagem: Inglês

10.1016/s0022-5347(01)67255-0

1527-3792

Mark A. Wainstein, Richard C. Graham, Martin I. Resnick,

Pediatric Urology and Nephrology Studies

No AccessJournal of UrologyClinical Urology: Original Article1 Jul 1995Predisposing factors of systemic fungal infections of the genitourinary tract Mark A. Wainstein, Richard C. Graham, and Martin I. Resnick Mark A. WainsteinMark A. Wainstein , Richard C. GrahamRichard C. Graham , and Martin I. ResnickMartin I. Resnick View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)67255-0AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail We reviewed 50 patients with genitourinary fungal infections between 1982 and 1992. Infections were classified as simple--localized to the bladder and complex--demonstrated evidence of upper tract and/or systemic infection. Predisposing factors of fungal infections, including diabetes mellitus, prolonged Foley catheter drainage and corticosteroid use, were not significantly different. The incidences of obstructive uropathy (88 percent and 20 percent), malnutrition (88 percent versus 48 percent), neoplasia (56 percent versus 16 percent), renal failure (24 percent versus 8 percent) and prolonged antibiotic use (60 percent versus 32 percent) were significantly greater in patients with complex infections. The incidence of fungemia in patients with complex infections was 81 percent with an associated mortality rate of 36 percent. Of the patients with complex infections 56 percent required urological intervention. Given the high incidence of obstructive uropathy with complex fungal infections, upper tract imaging is essential. References 1 Jarvis, W.R. and the National Nosocomial Infections Surveillance System, Hospital Infections Program, Centers for Disease Control: Nosocomial fungal infections in the United States: National Nocosomial Infections Surveillance (NNIS), January 1980-April 1990. 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Link, Google Scholar Department of Urology, Case Western Reserve University, School of Medicine, Cleveland, Ohio.© 1995 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byCHUNG B, CHANG S, KIM S and CHOI H (2018) SUCCESSFULLY TREATED RENAL FUNGAL BALL WITH CONTINUOUS IRRIGATION OF FLUCONAZOLEJournal of Urology, VOL. 166, NO. 5, (1835-1836), Online publication date: 1-Nov-2001.TALLURI G, MARELLA V, SHIRAZIAN D and WISE G (2018) IMMUNE RESPONSE IN PATIENTS WITH PERSISTENT CANDIDURIA AND OCCULT CANDIDEMIAJournal of Urology, VOL. 162, NO. 4, (1361-1364), Online publication date: 1-Oct-1999. Volume 154Issue 1July 1995Page: 160-163 Advertisement Copyright & Permissions© 1995 by American Urological Association, Inc.MetricsAuthor Information Mark A. Wainstein More articles by this author Richard C. Graham More articles by this author Martin I. Resnick More articles by this author Expand All Advertisement PDF downloadLoading ...