Descriptive analysis of epidemiological, clinical, biochemical and radiological data in a cohort of urinary tract infection in adult patients

Abstract

Objectives: Research of Urinary Tract Infection (UTI) has often been limited to not giving comprehensive associations. Documenting the renal outcomes is important in management of UTIs. To describe and analyze of relationships in epidemiological, clinical, biochemical and radiological data in a cohort of urinary tract infection in adult patients and their renal outcomes

Method: Analysis was carried out among 356 patients who were admitted to base hospital, Elpitiya during the period of 1/1/2011 – 31/12/2011.  We documented histories, QHT charts, biochemical report such as FBC, UFR, BU, Serum Creatinine (S.Cr) and Ultra sound scan reports reported by radiologist used in the study. Data were tabulated and analyzed using a statistical package.

Results: Among 356 patients, 74.4% were females and 25.6% were males and 70.7% of them were above 40 years. In the sample, 39.53% (n=136) did not have fever as their presenting complaint on admission. There were 58 patients with pyelonephrittis, who were diagnosed clinically, biochemically and radiologically (16.3%) from all UTI.other patients had cystitis. Among pyelonephrittis patients, 20.1%   of patients (n=12) were found to have elevated S.Cr (3.4% from whole sample). There were 102 NCD (28.6%) patients with commonly diabetic and 10 Chronic Kidney Disease patients. Surprisingly, 8 patients among cystitis group were found to have elevated S.Cr in the background of not having any clinical or radiological evidence of pyelinephrittis and history of diagnosed CKD.

Conclusions: We found that high prevalence of UTI patients presented without fever and there were high probability in both pyelonephrittis and cystitis patients to develop AKI.