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BMC Urol 2020 Jul 6;20(1):89. Epub 2020 Jul 6.

Laboratorio de Inmunobiología y Diagnóstico Molecular, Facultad de Ciencias Químico Biológicas, Universidad Autónoma de Guerrero, Av. Lázaro Cárdenas s/n, University City, C.P.39090, Chilpancingo, Guerrero, Mexico.

Background: Urinary tract infections (UTIs) are usually related to the presence of Escherichia coli, a microorganism that adopts an intracellular life-style during the pathogenesis of cystitis. Evidence of the underlying mechanism in urothelial cells from urine samples has been reported. However, intracellular communities have not yet been described in squamous cells in fresh samples stained with Sternheimer-Malbin method, thus, we have provided these descriptions in this case report. Read More

Cureus 2020 May 31;12(5):e8377. Epub 2020 May 31.

Urology, Memorial University of Newfoundland and Labrador, St. John's, CAN.

Introduction Urinary catheter insertion is a mandatory procedure taught during medical school. It is imperative that learners are provided the opportunity to practice the procedure, as an improper catheterization technique can result in urethral trauma and contribute to urinary tract infections. Simulation training offers the advantage of avoiding patient harm while allowing learners to feel comfortable to learn from their mistakes, resulting in increased user confidenceand shortening the learning curve for basic procedures. Read More

Eur Urol Focus 2020 Jun 29. Epub 2020 Jun 29.

Department of Urology, Guy's and St Thomas' NHS Foundation Trust, Guy's Hospital, London, UK. Electronic address:

Context: Botulinum toxin A (BTX-A) injections are effective in managing refractory overactive bladder (OAB). However, some patients exhibit a poor response and/or experience adverse events (AEs) such as voiding dysfunction necessitating clean intermittent self-catheterisation (CISC) and urinary tract infections (UTIs).

Objective: To systematically evaluate whether poor response/AEs to BTX-A for idiopathic OAB are predictable. Read More

BMC Infect Dis 2020 Jul 2;20(1):467. Epub 2020 Jul 2.

Department of Intensive Care Medicine, The Sixth People's Hospital, Shanghai Jiao Tong University, Shanghai, 200233, China.

Background: Urinary tract infection (UTI) caused by various pathogenic microorganisms is ubiquitous in the parts of the urinary system such as kidney, ureter, bladder, and urethra. Currently, clinical detection of UTI is mainly focused on urine culture; however, the diagnostic value of urine culture remains limited due to the time-consuming procedure and low detection rate, especially in patients who have used antibiotics. Generally, treatment for UTI relies on empirical medication rather than pathogen diagnosis, which leads to the inappropriate use of antimicrobial agents and a significant increase in resistant strains. Read More

J Urol 2020 Jul 2:101097JU0000000000001227. Epub 2020 Jul 2.

Department of Pediatrics, Kansai Medical University, Hirakata, Osaka, Japan.

Purpose: To evaluate the effect of long-term low-dose antibiotic prophylaxis on children's gut microbiota.

Materials And Methods: 16S ribosomal RNA gene sequencing was conducted using stool samples of 35 infants (median age, 5.2 months; male/female ratio, 17:18) under 3 years old who underwent antibiotic treatment during the acute phase of febrile urinary tract infection (fUTI). Read More

Front Pediatr 2020 15;8:298. Epub 2020 Jun 15.

Department of Pediatric Gastroenterology, Nephrology and Metabolic Diseases, Charité - Universitätsmedizin Berlin, Berlin, Germany.

Congenital anomalies of the kidney and urinary tract (CAKUT) are the most common cause of end-stage renal disease in children and adolescents. The diversity of the malformations summarized by CAKUT is high and there are numerous associated syndromes. The genetic background of these malformations remains unknown in the majority of cases. Read More

J Urol 2020 Jun 30:101097JU000000000000116301. Epub 2020 Jun 30.

Arch Ital Urol Androl 2020 Jun 24;92(2). Epub 2020 Jun 24.

University of Health Sciences, Bursa Yuksek Ihtisas Training and Research Hospital, Department of Urology, Bursa.

Objectives: Urinary tract infection (UTI) is the second most common cause of infection among all infectious diseases at hospitals. Antibiogram results are needed to maintain treatment in patients with suspected UTI. However, empirical antibiotic treatment is initiated in patients since it takes time to obtain the results of antibiograms. Read More

J Surg Case Rep 2020 Jun 19;2020(6):rjaa064. Epub 2020 Jun 19.

General Surgery Residency, Hospital Episcopal San Lucas, Ponce, Puerto Rico.

This is an unusual case report of 32-year-old Hispanic male who presented with an early-onset advanced stage colorectal cancer with an enterovesical fistula. A 32-year-old man presented to our institution referring suprapubic pain, urinary frequency, dysuria and tenesmus for several weeks suggesting Gouverneur's syndrome. Patient had been treated with oral antibiotics for his recurrent urinary tract infections without resolution. Read More

Clin Infect Dis 2020 Jun 26. Epub 2020 Jun 26.

Infectious Diseases Research Program, Providence Veterans Affairs Medical Center, Providence, RI, United States.

Background: Unnecessary antibiotic treatment of suspected urinary tract infection (UTI) is common in long-term care facilities (LTCFs). However, less is known about the extent of suboptimal treatment, in terms of antibiotic choice, dose, and duration, after the decision to use antibiotics has been made.

Methods: We described the frequency of potentially suboptimal treatment among residents with an incident UTI (first during the study with none in the year prior) in Veterans Affairs' (VA) Community Living Centers (CLCs, 2013-2018). Read More

Surg Obes Relat Dis 2020 May 11. Epub 2020 May 11.

Geisinger Medical Center, Danville, Pennsylvania. Electronic address:

Background: Male sex has long been identified as a risk factor for adverse outcomes, including mortality, after Roux-en-Y gastric bypass (RYGB).

Objectives: The objective of this study was to compare short-term outcomes of patients undergoing laparoscopic RYGB based on biologic sex.

Setting: Geisinger Medical Center, Danville, PA. Read More

Stroke Res Treat 2020 11;2020:9745206. Epub 2020 Jun 11.

Department of Neurology, University Hospital Yalgado Ouedraogo, Ouagadougou, Burkina Faso.

Objective: To determine the prevalence of ischemic stroke deaths and their predictive factors in the Emergency Department at Yalgado Ouedraogo University Teaching Hospital (YOUTH). . This was a retrospective study with an analytical and descriptive focus over a period of three years from January 1, 2015, to December 31, 2017. Read More

Can Urol Assoc J 2020 Jun 16. Epub 2020 Jun 16.

Division of Urology, University of Alberta, Edmonton, AB, Canada.

Introduction: The last 10-15 years has seen a decline in formal undergraduate urological education throughout Canada. Given the large volume of urological presentations in family practice, trainees need to acquire the requisite urological knowledge and skills to serve their patients. The objective of this study is to determine the perceived level of urological knowledge and skills among Canadian family medicine residents. Read More

Geriatr Orthop Surg Rehabil 2020 28;11:2151459320929581. Epub 2020 May 28.

Rubin Institute for Advanced Orthopedics, Center for Joint Preservation and Replacement, Sinai Hospital of Baltimore, MD, USA.

Background: Hip fractures are a common condition associated with high morbidity and mortality. In this study, we assess (1) yearly incidences, (2) demographic factors, (3) postoperative outcomes, (4) primary diagnoses, and (5) primary procedures.

Materials And Methods: The National Inpatient Sample was queried for patients admitted with hip fractures from 2009 to 2016 (n = 2 761 850). Read More

BMC Infect Dis 2020 Jun 20;20(1):431. Epub 2020 Jun 20.

Department of Infection Control Science, Osaka City University Graduate School of Medicine, 1-4-3, Asahi-machi, Abeno-ku, Osaka, 545-8585, Japan.

Background: Good's syndrome (GS) is characterized by immunodeficiency, and can lead to severe infection, which is the most significant complication. Although Mycobacterium rarely causes infection in patients with GS, disseminated nontuberculous mycobacterial (NTM) infection frequently occurs in GS patients that are also positive for the human immunodeficiency virus (HIV) or anti-interferon (IFN)-γ autoantibodies. Here, we report a rare case of GS with NTM without HIV or IFN-γ autoantibodies. Read More

Andrologia 2020 Jun 19:e13719. Epub 2020 Jun 19.

Institute of Urology, University of Southern California, Los Angeles, CA, USA.

In this study, we sought to determine the effect of trainee (resident or fellow physician) involvement in male infertility surgical procedures on patient surgical outcomes and complications. The American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database was retrospectively reviewed for fertility surgical procedures from 2006 to 2012. The procedures included were as follows: epididymectomy, spermatocelectomy, varicocelectomy ± hernia repair, ejaculatory duct resection, vasovasostomy, vasoepididymostomy and 'unlisted procedure male genital system' (to capture sperm retrieval procedures). Read More

Cureus 2020 May 14;12(5):e8110. Epub 2020 May 14.

Internal Medicine, Benazir Bhutto Hospital Rawalpindi, Rawalpindi, PAK.

Objective To determine the pattern of microbes responsible for urinary tract infections and their susceptibility to antimicrobial agents. Methods This was a prospective, observational study conducted at Benazir Bhutto Hospital, Rawalpindi, Pakistan. The urine samples of 440 patients were collected and sent for culture and sensitivity analysis. Read More

Arch Esp Urol 2020 Jun;73(5):405-412

Servicio de Urología. Hospital Universitario 12 de Octubre. Instituto de Investigación i+12 (imas12). Madrid. España.

Objectives: The pandemic caused by the new SARS / Cov-2 Coronavirus represents an unprecedented scenario in modern medicine that affects many aspects of daily healthcare. Lower urinary tract symptoms (LUTS) and benign prostatic hyperplasia (BPH) has a high prevalence and is related to high consumption of health resources. For this reason, we performed a revision of the management of LUTS and HBP during and after COVID-19 pandemic. Read More

Cureus 2020 May 10;12(5):e8049. Epub 2020 May 10.

Inpatient Pediatrics, Nemours Children's Hospital, Orlando, USA.

is a gram-negative bacillus of the Enterobacteriaceae family. It is a rare human pathogen that is often acquired via wound and/or contact with aquatic environment. Although multiple cases of infections are described in the adult population, few have been documented in pediatrics. Read More

Antibiotics (Basel) 2020 Jun 10;9(6). Epub 2020 Jun 10.

Department of Pharmacy, National University Health System, Singapore 119228, Singapore.

Antimicrobial resistance among uropathogens is a particularly pressing problem in the Asia-Pacific region. The objectives of this study were to determine the incidence and susceptibility of uropathogens upon hospital admission and to develop a risk-scoring model to predict the presence of ceftriaxone-resistance uropathogens (CrP). This was a retrospective observational cohort study of patients with a positive urine culture within 48 h of presentation at National University Hospital, Singapore between June 2015 and August 2015. Read More

BMC Geriatr 2020 Jun 11;20(1):203. Epub 2020 Jun 11.

Department of Emergency Medicine, Copenhagen University Hospital, Bispebjerg and Frederiksberg, Denmark.

Background: Knowledge of unplanned readmission rates and prognostic factors for readmission among older people after early discharge from emergency departments is sparse. The aims of this study were to examine the unplanned readmission rate among older patients after short-term admission, and to examine risk factors for readmission including demographic factors, comorbidity and admission diagnoses.

Methods: This cohort study included all medical patients aged ≥65 years acutely admitted to Danish hospitals between 1 January 2013 and 30 June 2014 and surviving a hospital stay of ≤24 h. Read More

Kidney Dis (Basel) 2020 May 28;6(3):195-203. Epub 2020 Feb 28.

Department of Nephrology, the Second Xiangya Hospital, Central South University, Changsha, China.

Objectives: To investigate the characteristics of kidney stone disease (KSD) among the Chinese population with type 2 diabetes mellitus (T2DM) and identify sex-specific factors associated with KSD.

Methods: A single-center, cross-sectional analysis was performed among Chinese patients with T2DM. KSD was identified by ultrasonography or computed tomography results. Read More

J Orthop Surg Res 2020 Jun 9;15(1):214. Epub 2020 Jun 9.

Department of Spinal Surgery, Honghui Hospital, Xi'an Jiaotong University, No.76, Nanguo Road, Beilin District, Xi'an, 710054, Shaanxi, China.

Background: While the cities in China in which spinal cord injury (SCI) studies have been conducted previously are at the forefront of medical care, northwest China is relatively underdeveloped economically, and the epidemiological characteristics of SCI have rarely been reported in this region.

Methods: The SCI epidemiological survey software developed was used to analyze the data of patients treated with SCI from 2014 to 2018. The sociodemographic characteristics of patients, including name, age, sex, and occupation, were recorded. Read More

Microorganisms 2020 Jun 5;8(6). Epub 2020 Jun 5.

"Carol Davila" University of Medicine and Pharmacy, 8 Eroii Sanitari blvd., 050474 Bucharest, Romania.

Considering urinary tract infections (UTIs), a significant public health problem with negligible recent research, especially on the male eastern European population, we aimed to determine the antimicrobial resistance rates of uropathogens for the most commonly used antibiotics in urological practice in our country. We conducted a multicenter retrospective study in two different teaching hospitals in Romania, analyzing urine samples from 7719 patients to determine the frequency of incriminating pathogens and their resistance to different antibiotics, in a comparative approach. We determined (35. Read More

Epidemiol Health 2020 1;42:e2020037. Epub 2020 Jun 1.

Department of Biostatistics, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran.

Objectives: Determining the predictors of in-hospital death related to nosocomial infections is an essential part of efforts made in the overall health system to improve the delivery of health care to patients. Therefore, this study investigated the predictors of in-hospital death related to nosocomial infections.

Methods: This registry-based, longitudinal study analyzed data on 8,895 hospital-acquired infections (HAIs) in Hamadan Province, Iran from March 2017 to December 2019. Read More

J Surg Case Rep 2020 May 1;2020(5):rjaa067. Epub 2020 Jun 1.

Department of Surgery, Geisinger Community Medical Center, Scranton, PA, USA.

Although parastomal hernias are a common complication of ostomy formation, herniation of intra-abdominal organs, aside from intestine, is infrequent. Furthermore, herniation of retroperitoneal organs, such as the kidney, is an extremely rare finding. We report the case of a 59-year-old male with a right ileostomy who presented with an acute kidney injury with suggestive urinary tract infection. Read More

Bol Med Hosp Infant Mex 2020 ;77(3):149-152

Servicio de Enfermedades Infecciosas, Departmento de Pediatría, Hospital Universitario Dr. José Eleuterio González, Monterrey, Nuevo León, Mexico.

Background: Weeksella virosa is one of the two species of the genus Weeksella. Clinical disease due to this bacterium in humans is rare, for which only nine cases have been reported in the literature.

Case Report: A 4-year-old male patient was diagnosed with a left orbit rhabdomyosarcoma Stage III and was admitted to a northeast third level referral center in Mexico. Read More

Br J Neurosurg 2020 Jun 1:1-4. Epub 2020 Jun 1.

Department of Orthopaedics, The Affiliated Hospital of Guizhou Medical University, Guiyang, China.

Data about postoperative infections in male adults with spinal cord injury are scarce. We aimed to evaluate the association between prior exposure to pressure ulcers (PU) and the risk of postoperative infections in male adults with spinal cord injury (SCI). We conducted a prospective study of male adults receiving surgery of SCI from January 2007 to December 2019. Read More

Antibiotics (Basel) 2020 May 26;9(6). Epub 2020 May 26.

Department of Transplantation Medicine, Nephrology, Internal Diseases, T. Orłowski Institute of Transplantation, Medical University of Warsaw, 59 Nowogrodzka Street, 02-006 Warsaw, Poland.

Urinary tract infections (UTIs) are the most common bacterial infections among kidney transplant (KTX) recipients. The purpose of this study was to analyze antimicrobial resistance (AMR) in four most common pathogens responsible for UTIs in KTX recipients and determine risk factors (RF) for resistance in the same group. Analyzed antibiograms were based on urine samples positive for bacterial growth of 10 colony-forming units (CFU)/mL obtained from hospitalized adult KTX recipients presenting with UTI symptoms upon admission to the center in years 2011-2018. Read More

IDCases 2020 11;21:e00807. Epub 2020 May 11.

Department of Infectious Disease, Jersey Shore University Medical Center, Neptune, NJ, 07753, USA.

is an anaerobic gram variable organism, which commonly causes bacterial vaginosis in women. It is uncommon for this organism to cause a urinary tract infection in males. We present a case of bacteremia in the setting of urolithiasis in an otherwise immunocompetent elderly male. Read More

Pediatr Surg Int 2020 Jul 26;36(7):763-772. Epub 2020 May 26.

Department of Urology, Ipswich Hospital, East Suffolk and North Essex NHS Foundation Trust (ESNEFT), Heath Rd, Ipswich, IP4 5PD, UK.

Introduction: Bladder Bowel Dysfunction (BBD) has been described in patients with Down's Syndrome (DS). Our aim was to report the incidence, demographics, presentation, complications and management of the bladder in DS patients with BBD.

Methods: A systematic review was performed using PRISMA guidelines and search terms "{[(trisomy 21) OR down's syndrome]} AND [("non-neurogenic") OR voiding dysfunction]" in the search engines MEDLINE and SCOPUS. Read More

J Pediatr 2020 Jun;221:132-137.e2

Division of Pediatric Emergency Medicine, Department of Pediatrics, UPMC Children's Hospital of Pittsburgh, University of Pittsburgh School of Medicine, Pittsburgh, PA.

Objective: To assess the prevalence of serious infections and mortality among infants ≤90 days of age presenting to the emergency department with hypothermia.

Study Design: We performed a cross-sectional cohort study of infants ≤90 days presenting to any of 40 EDs in the Pediatric Health Information Systems between January 1, 2009, and December 31, 2018. Infants with an International Classification of Diseases, ninth or tenth edition, admission/discharge diagnosis code of hypothermia were included. Read More

Medicina (B Aires) 2020 ;80(3):241-247

Sociedad Argentina de Infectología, Argentina.

The second part of the Inter-Society Argentine Consensus on Urinary Tract Infection (UTI) includes the analysis of special situations. In patients with urinary catheter, urine culture should be requested only in the presence of UTI symptomatology, before instrumentation of the urinary tract, or as a post-transplant control. The antibiotics recommended for empirical treatment in patients without risk factors are third-generation cephalosporins or aminoglycosides. Read More

Medicina (B Aires) 2020 ;80(3):229-240

Sociedad Argentina de Infectología, Argentina.

The Argentine Society of Infectious Diseases and other scientific societies have updated these recommendations based on data on urinary tract infections in adults obtained from a prospective multicenter study conducted in Argentina during 2016-2017. Asymptomatic bacteriuria should be treated only in pregnant women, who should also be systematically investigated; the antibiotics of choice are nitrofurantoin, amoxicillin, clavulanic/amoxicillin, cephalexin and trimethoprim-sulfamethoxazole. In procedures involving injury to the urinary tract with bleeding, it is recommended to request urine culture and, in the presence of bacteriuria, antimicrobial treatment according to sensitivity should be prescribed from immediately before up to 24 hours after the intervention. Read More

Am J Case Rep 2020 May 21;21:e920974. Epub 2020 May 21.

Department of Internal Medicine, Northwestern McHenry Hospital, McHenry, IL, USA.

BACKGROUND Initially presumed as nonpathogenic, the bacterial genus aerococcus now includes 7 distinct virulent and avirulent species. Aerococcus urinae first isolated in 1992 is an uncommon cause of urinary tract infection (UTI) and is seen in only 0.15% to 0. Read More

Indian J Med Microbiol 2019 Oct-Dec;37(4):587-589

Department of Nephrology, Madras Medical Mission, Chennai, Tamil Nadu, India.

Mycobacterium tuberculosis(MTB)-related secondary immunoglobulin A (IgA) nephropathy is reported in a 72-year-old male patient. The patient was diagnosed to have MTB infection of the kidney and genitourinary tract which was diagnosed by the demonstration of the organism by GeneXpert Ultra and culture. Concurrent kidney biopsy showed IgA nephropathy. Read More

Can Urol Assoc J 2020 May 12. Epub 2020 May 12.

Columbia University Medical Center, New York, NY, United States.

Introduction: We aimed to assess safety and efficacy of incobotulinumtoxinA for the treatment of neurogenic detrusor overactivity (DO).

Methods: We identified patients with neurogenic DO confirmed on urodynamics (UDS) and reported urgency incontinence (UI) in those who received intravesical incobotulinumtoxin A injection for neurogenic bladder between November 2013 and May 2017. Parameters studied were daytime frequency, daily incontinence episodes, daily pad use, clean intermittent catheterization (CIC) volumes, symptom scores (UDI6, IIQ7, PGII), and complications. Read More

Dermatol Res Pract 2020 5;2020:8410165. Epub 2020 May 5.

Department of Pediatrics, Ramsar Campus, Mazandaran University of Medical Sciences, Sari, Iran.

Cutaneous lesions are common in the neonatal period and mostly physiological, transient, and self-limited; uncommonly, they are pathological and require treatment and cooperation between neonatologists and dermatologists. Particular conditions, like prematurity, can influence the onset, type, and evolution of cutaneous manifestations. Of the several articles in the literature about skin findings in newborns, only a few were performed in Iran. Read More

Urol Int 2020 May 18:1-8. Epub 2020 May 18.

Institute of Medical Informatics, Biometry, and Epidemiology, University Hospital Essen, Essen, Germany.

Introduction: Due to a continuing increase of bacterial resistance in common uropathogens, we wanted to revisit our standards for the diagnosis and treatment of lower urinary tract infections, in the setting of urological outpatient care in a conurbation in Germany.

Patients And Methods: All subjects presenting with significant bacteriuria at our urology clinics in Mülheim, Germany, in 2011 were included. Comorbidity, bacterial species, urinary tract symptoms, and empirically prescribed antibiotics were taken from the patients' records. Read More

Prog Urol 2020 May 14. Epub 2020 May 14.

Service d'urologie et de transplantations rénales, CHU La Milétrie, CHU de Poitiers, 2, rue de la Milétrie, 86021 Poitiers, France; Inserm U1070, UFR médecine-pharmacie, pharmacologie des anti-infectieux, pôle biologie santé, université de Poitiers, 1, rue Georges-Bonnet, bâtiment B36 TSA 51106, 86073 Poitiers cedex 9, France.

Introduction: Acute urinary tract infections (UTIs) in adult are now a major public health issue in terms of morbidity, mortality and in terms of costs for society. The latest French guidelines and the European Association of Urology guidelines differ in some points. The aim of this article is to compare the guidelines of these two societies in order to highlight their differences but also their common points in the management of UTIs. Read More

Int J Surg Case Rep 2020 11;70:87-92. Epub 2020 May 11.

Department of Surgery, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia.

Introduction: Preputial stones are a very rare form of urinary tract stone, and only small number cases have been reported in the literature, and tend to occur in uncircumcised males with poor genital hygiene, low socioeconomic status, and phimosis.

Presentation Of Case: Here, we report a case in a male who presented with more than 100 preputial stones. The stones were evident on clinical examination by palpation on the preputial. Read More

J Pediatr Urol 2020 Jun 13;16(3):328.e1-328.e9. Epub 2020 Apr 13.

Section of Urology, University Children's Hospital, Uppsala, Sweden.

Background: Since 1993, children aged >1 year with persistent grade III-V vesicoureteral reflux (VUR) and febrile urinary tract infections (UTIs) attending Uppsala University Hospital have undergone endoscopic injection with proprietary non-animal stabilized hyaluronic acid/dextranomer gel (NASHA/Dx; Deflux®).

Objective: Investigate long-term incidence of UTI, bladder dysfunction, ureteral reimplantation and overall clinical findings following endoscopic injection of NASHA/Dx.

Study Design: Children with grade IV VUR diagnosed by voiding cystourethrogram (VCUG) and dilating VUR persisting for >1 year were included in this study. Read More

Cureus 2020 Apr 10;12(4):e7615. Epub 2020 Apr 10.

Pediatrics, Faculty of Medicine, King Abdulaziz University, Jeddah, SAU.

Background Antenatal hydronephrosis (ANH) is the most common congenital abnormality. It is often detected during pregnancy through an antenatal ultrasound (US) examination. This condition is defined as the dilatation of the renal pelvis and/or calyces in neonates. Read More

Ann Transl Med 2020 Apr;8(7):477

Division of Nephrology, Department of Internal Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan.

Background: The purpose of this study was to compare clinical characteristics and outcomes in individuals of different age groups with urinary tract infection (UTI), and to identify the relationships among advanced age and uroseptic shock.

Methods: This retrospective study compared clinical characteristics and outcomes in patients in different age groups with UTI and identified relationships between advanced age and uroseptic shock among hospitalized patients with UTI in an acute hospital care setting from January 2006 to October 2018. Patients were divided into young (age below 65 years), old (65-80 years), and very old (above 80 years) groups. Read More

Crit Care Resusc 2020 Jun;22(2):126-132

Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan.

Background: To determine the temporal trends of incidence and outcome based on different sources of sepsis using a nationwide administrative database.

Methods: From 2002 to 2012, the entire Taiwan's health insurance claims data of emergency-treated and hospital-treated sepsis were analysed for incidence and mortality trends. The information about patients with sepsis and sources of sepsis was identified using a set of validated International Classification of Diseases, ninth revision, clinical modification (ICD-9-CM) codes. Read More

Mult Scler Relat Disord 2020 Jun 30;41:102165. Epub 2020 Apr 30.

NMR Research Unit, Queen Square Multiple Sclerosis Centre, Department of Neuroinflammation, UCL Institute of Neurology, University College London (UCL), London, UK; Department of Human Neuroscience, Sapienza University of Rome, Italy. Electronic address:

Background: The novel Coronavirus SARS-CoV-2, which was identified after a recent outbreak in Wuhan, China, in December 2019, has generated a global pandemic impacting over 200 countries around the world. Recent reports suggest that ACE2, which is the target protein to invade the host, has a ubiquitous presence in human organs, including lung parenchyma, gastrointestinal tract, nasal mucosa, renal and urinary tract, airway epithelia, lymphoid tissues, reproductive organs, vascular endothelium and neurons. In this scenario, neurologists are particularly involved into considering even more specific therapeutic strategies according to the available data during the pandemic. Read More

J Arthroplasty 2020 Apr 11. Epub 2020 Apr 11.

Department of Orthopaedic Surgery, University of Virginia Health System, Charlottesville, VA.

Background: Despite being a relatively common problem among aging men, hypogonadism has not been previously studied as a potential risk factor for postoperative complications following total hip arthroplasty (THA).

Methods: In total, 3903 male patients with a diagnosis of hypogonadism who underwent primary THA from 2006 to 2012 were identified using a national insurance database and compared to 20:1 matched male controls using a logistic regression analysis.

Results: Hypogonadism was associated with an increased risk of major medical complications (odds ratio [OR] 1. Read More

World J Mens Health 2020 Apr 21. Epub 2020 Apr 21.

Department of Urology, Tulane University School of Medicine, New Orleans, LA, USA.

Purpose: We aimed to assess the 30-day morbidity in patients undergoing combined insertion of penile prosthesis (PP) and artificial urinary sphincter (AUS) . PP and male sling (MS).

Materials And Methods: The National Surgical Quality Improvement Program database was queried to identify patients who underwent placement of AUS or MS combined with PP. Read More

BMC Infect Dis 2020 May 6;20(1):322. Epub 2020 May 6.

Global Institute for Interdisciplinary Studies/Gandaki Medical College Teaching Hospital, Post Box: 24560, Sundhara, Kathmandu, Nepal.

Background: Scrub typhus can present with atypical signs and symptoms such as those of acute kidney injury, gastroenteritis, pneumonitis, and acute respiratory distress syndrome. Meningitis, encephalitis, and hepatic dysfunction have also been reported, particularly in severe cases with multisystem involvement. Scrub typhus has never been reported in the literature to cause urinary tract infections (UTIs) which includes cystitis and pyelonephritis. Read More