Mike Wenzel, Marina Deuker, Maria-Noemi Welte, Robert Benedikt Höh, Felix Martin Preißer, Till Homrich, Volkhard A. J. Kempf, Michael Hogardt, Philipp Mandel, Pierre I. Karakiewicz, Felix Chun, Luis A. Kluth
- Objective: This study aims to evaluate catheter management in acute epididymitis (AE) patients requiring inpatient treatment and risk factors predicting severity of disease.
Material and Methods: Patients with diagnosed AE and inpatient treatment between 2004 and 2019 at the University Hospital Frankfurt were analyzed. A risk score, rating severity of AE, including residual urine > 100 ml, fever > 38.0°C, C-reactive protein (CRP) > 5 mg/dl, and white blood count (WBC) > 10/nl was introduced.
Results: Of 334 patients, 107 (32%) received a catheter (transurethral (TC): n = 53, 16%, suprapubic (SPC): n = 54, 16%). Catheter patients were older, exhibited more comorbidities, and had higher CRP and WBC compared with the non-catheter group (NC). Median length of stay (LOS) was longer in the catheter group (7 vs. 6 days, p < 0.001), whereas necessity of abscess surgery and recurrent epididymitis did not differ. No differences in those parameters were recorded between TC and SPC. According to our established risk score, 147 (44%) patients exhibited 0–1 (low-risk) and 187 (56%) 2–4 risk factors (high-risk). In the high-risk group, patients received a catheter significantly more often than with low-risk (TC: 22 vs. 9%; SPC: 19 vs. 12%, both p ≤ 0.01). Catheter or high-risk patients exhibited positive urine cultures more frequently than NC or low-risk patients. LOS was comparable between high-risk patients with catheter and low-risk NC patients.
Conclusion: Patients with AE who received a catheter at admission were older, multimorbid, and exhibited more severe symptoms of disease compared with the NC patients. A protective effect of catheters might be attributable to patients with adverse risk constellations or high burden of comorbidities. The introduced risk score indicates a possibility for risk stratification.
MetadatenVerfasserangaben: | Mike WenzelORCiDGND, Marina Deuker, Maria-Noemi WelteGND, Robert Benedikt HöhORCiDGND, Felix Martin PreißerORCiDGND, Till Homrich, Volkhard A. J. KempfORCiDGND, Michael HogardtORCiDGND, Philipp MandelORCiDGND, Pierre I. Karakiewicz, Felix ChunORCiDGND, Luis A. KluthORCiDGND |
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URN: | urn:nbn:de:hebis:30:3-572031 |
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DOI: | https://doi.org/10.3389/fsurg.2020.609661 |
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ISSN: | 2296-875X |
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Titel des übergeordneten Werkes (Englisch): | Frontiers in Surgery |
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Verlag: | Frontiers Media |
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Verlagsort: | Lausanne |
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Dokumentart: | Wissenschaftlicher Artikel |
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Sprache: | Englisch |
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Datum der Veröffentlichung (online): | 03.12.2020 |
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Datum der Erstveröffentlichung: | 03.12.2020 |
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Veröffentlichende Institution: | Universitätsbibliothek Johann Christian Senckenberg |
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Datum der Freischaltung: | 17.12.2020 |
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Freies Schlagwort / Tag: | antibiotic treatment; catheter; epididymitis; risk score; suprapubic catheter; transurethral catheter |
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Jahrgang: | 7 |
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Ausgabe / Heft: | Article 609661 |
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Seitenzahl: | 7 |
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HeBIS-PPN: | 477656064 |
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Institute: | Medizin / Medizin |
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DDC-Klassifikation: | 6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit |
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Sammlungen: | Universitätspublikationen |
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Lizenz (Deutsch): | Creative Commons - Namensnennung 4.0 |
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