Urinary tract infections in cystic fibrosis patients

被引:0
作者
Reasoner, Seth A. [1 ]
Enriquez, Kyle T. [2 ]
Abelson, Benjamin [3 ]
Scaglione, Steven [2 ]
Schneier, Bennett [1 ]
O'Connor, Michael G. [4 ]
Van Horn, Gerald [1 ,5 ]
Hadjifrangiskou, Maria [1 ,5 ,6 ]
机构
[1] Vanderbilt Univ, Med Ctr, Dept Pathol Microbiol & Immunol, Div Mol Pathogenesis, Nashville, TN 37235 USA
[2] Vanderbilt Univ, Sch Med, Nashville, TN 37212 USA
[3] Vanderbilt Univ, Med Ctr, Dept Urol, Div Pediat Urol, Nashville, TN USA
[4] Vanderbilt Univ, Med Ctr, Dept Pediat, Div Pediat Pulm Allergy & Immunol, Nashville, TN 37232 USA
[5] Vanderbilt Univ, Med Ctr, Ctr Personalized Microbiol CPMi, Nashville, TN 37235 USA
[6] Vanderbilt Univ, Med Ctr, Vanderbilt Inst Infect Immunol & Inflammat VI4, Nashville, TN 37235 USA
关键词
Cystic fibrosis; Urinary tract infection; Antibiotic resistance; Cystitis; COMORBIDITIES;
D O I
10.1016/j.jcf.2021.07.005
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Improved understanding of non-respiratory infections in cystic fibrosis (CF) patients will be vital to sustaining the increased life span of these patients. To date, there has not been a published report of urinary tract infections (UTIs) in CF patients. We performed a retrospective chart review at a major academic medical center during 2010-2020 to determine the features of UTIs in 826 CF patients. We identified 108 UTI episodes during this period. Diabetes, distal intestinal obstruction syndrome (DIOS), and nephrolithiasis were correlated with increased risk of UTIs. UTIs in CF patients were less likely to be caused by Gram-negative rods compared to non-CF patients and more likely to be caused by Enterococcus faecalis . The unique features of UTIs in CF patients highlight the importance of investigating non-respiratory infections to ensure appropriate treatment. (c) 2021 European Cystic Fibrosis Society. Published by Elsevier B.V. All rights reserved.
引用
收藏
页码:E1 / E4
页数:4
相关论文
共 23 条
[1]   Impaired Renal HCO3- Excretion in Cystic Fibrosis [J].
Berg, Peder ;
Svendsen, Samuel L. ;
Sorensen, Mads, V ;
Larsen, Casper K. ;
Andersen, Jesper Frank ;
Jensen-Fangel, Soren ;
Jeppesen, Majbritt ;
Schreiber, Rainer ;
Cabrita, Ines ;
Kunzelmann, Karl ;
Leipziger, Jens .
JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY, 2020, 31 (08) :1711-1727
[2]   New Comorbidities in the Changing Face of Cystic Fibrosis Care [J].
Bonk, Michael ;
Rey, Michael M. ;
Hadjiliadis, Denis .
JOURNAL OF CYSTIC FIBROSIS, 2017, 16 (06) :647-648
[3]   The altered gut microbiota in adults with cystic fibrosis [J].
Burke, D. G. ;
Fouhy, F. ;
Harrison, M. J. ;
Rea, M. C. ;
Cotter, P. D. ;
O'Sullivan, O. ;
Stanton, C. ;
Hill, C. ;
Shanahan, F. ;
Plant, B. J. ;
Ross, R. P. .
BMC MICROBIOLOGY, 2017, 17 :1-11
[4]   Gut Microbiota in Children With Cystic Fibrosis: A Taxonomic and Functional Dysbiosis [J].
Coffey, Michael J. ;
Nielsen, Shaun ;
Wemheuer, Bernd ;
Kaakoush, Nadeem O. ;
Garg, Millie ;
Needham, Bronwen ;
Pickford, Russell ;
Jaffe, Adam ;
Thomas, Torsten ;
Ooi, Chee Y. .
SCIENTIFIC REPORTS, 2019, 9 (1)
[5]   New and developing diagnostic technologies for urinary tract infections [J].
Davenport, Michael ;
Mach, Kathleen E. ;
Shortliffe, Linda M. Dairiki ;
Banaei, Niaz ;
Wang, Tza-Huei ;
Liao, Joseph C. .
NATURE REVIEWS UROLOGY, 2017, 14 (05) :296-+
[6]   Altered intestinal microbiota composition, antibiotic therapy and intestinal inflammation in children and adolescents with cystic fibrosis [J].
de Freitas, Maiara Brusco ;
Machado Moreira, Emilia Addison ;
Tomio, Camila ;
Franco Moreno, Yara Maria ;
Daltoe, Felipe Perozzo ;
Barbosa, Eliana ;
Neto, Norberto Ludwig ;
Buccigrossi, Vittoria ;
Guarino, Alfredo .
PLOS ONE, 2018, 13 (06)
[7]   Defining a Molecular Signature for Uropathogenic versus Urocolonizing Escherichia coli: The Status of the Field and New Clinical Opportunities [J].
Eberly, Allison R. ;
Beebout, Connor J. ;
Tong, Ching Man Carmen ;
Van Horn, Gerald T. ;
Green, Hamilton D. ;
Fitzgerald, Madison J. ;
De, Shuvro ;
Apple, Emily K. ;
Schrimpe-Rutledge, Alexandra C. ;
Codreanu, Simona G. ;
Sherrod, Stacy D. ;
McLean, John A. ;
Clayton, Douglass B. ;
Stratton, Charles W. ;
Schmitz, Jonathan E. ;
Hadjifrangiskou, Maria .
JOURNAL OF MOLECULAR BIOLOGY, 2020, 432 (04) :786-804
[8]   Diagnosis of Cystic Fibrosis: Consensus Guidelines from the Cystic Fibrosis Foundation [J].
Farrell, Philip M. ;
White, Terry B. ;
Ren, Clement L. ;
Hempstead, Sarah E. ;
Accurso, Frank ;
Derichs, Nico ;
Howenstine, Michelle ;
McColley, Susanna A. ;
Rock, Michael ;
Rosenfeld, Margaret ;
Sermet-Gaudelus, Isabelle ;
Southern, Kevin W. ;
Marshall, Bruce C. ;
Sosnay, Patrick R. .
JOURNAL OF PEDIATRICS, 2017, 181 :S4-S15
[9]   Urinary tract infection: Self reported incidence and associated costs [J].
Foxman, B ;
Barlow, R ;
D'Arcy, H ;
Gillespie, B ;
Sobel, JD .
ANNALS OF EPIDEMIOLOGY, 2000, 10 (08) :509-515
[10]   Urinary Tract Infection Syndromes Occurrence, Recurrence, Bacteriology, Risk Factors, and Disease Burden [J].
Foxman, Betsy .
INFECTIOUS DISEASE CLINICS OF NORTH AMERICA, 2014, 28 (01) :1-+