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Research Paper | Urology | India | Volume 12 Issue 10, October 2023
A Cross-Sectional Study on Epidemiology, Clinical Profile of Acute Pyelonephritis among Adults in a Tertiary Care Hospital
Prabhu Elumalai | Srikala Prasad | Sudhakaran Selvaraj | Senthilkumar Sivalingam [2] | Ramesh Ganapathy | Ananda kumar Ilangovan
Abstract: Introduction: Acute pyelonephritis (APN) is a significant urinary tract infection posing substantial morbidity and mortality risks. While global statistics on APN abound, regional data remain scarce. Methods: A comprehensive cross-sectional analysis was undertaken at Chengalpattu Medical College, spanning 18 months, with a cohort of 107 participants exhibiting signs of APN. Our methodology meticulously covered various parameters, including clinical presentations, prevalent comorbidities, the entirety of blood and urine investigations, diverse radiological assessments, and a range of medical interventions. Additionally, the final health outcomes of the participants were recorded. Results: 67.29% of the cohort were females with an average age of 42.76 years. Flank pain was reported by 66.3%, and Diabetes Mellitus was a notable comorbidity in 63.5%. Escherichia coli was the primary causative agent in 60.74% of cases. Treatment varied: 42.05% received conservative care, 46.7% had Double J stent placements, and 11.21% underwent percutaneous nephrostomy. A 2.8% mortality rate was observed. Conclusions: This study highlights APN's complexities, emphasizing gender disparities, the role of Escherichia coli, and diverse treatment outcomes. It provides crucial regional insights, promoting a nuanced and patient-specific approach to care.
Keywords: Acute Pyelonephritis, Clinical presentation, CT Scan, Urinary Tract Infection
Edition: Volume 12 Issue 10, October 2023,
Pages: 528 - 531