기종성 신우신염 24례의 최고 전략 분석

Title
기종성 신우신염 24례의 최고 전략 분석
Other Titles
Analysis of Treatment Modalities of 24 Cases with Emphysematous Pyelonephritis
Author(s)
김현태송필현
Keywords
Pyelonephritis; Percutaneous; Drainage
Issue Date
201108
Publisher
대한감염학회
Citation
Infection and Chemotherapy, v.43, no.4, pp.339 - 342
Abstract
Background: Emphysematous pyelonephritis (EPN) is a severe gas-forming infection of renal parenchyma with high mortality and its adequate treatment modality remains controversial. There have been only a limited number of studies about EPN,particularly in Korea. Therefore, we present our experience in patients with EPN. Materials and Methods: Twenty-four patients that were diagnosed with EPN between January 1999 and June 2010 at a single medical center were retrospectively evaluated. Patient characteristics, causative pathogens, clinical features, complications,and mortality rates as modalities of managements and radiological classes of EPN were analyzed. Results: All of the 24 patients selected for the study were diabetic. Twentyone patients were positive at urine culture and Escherichia coli (85.7%) was the predominant pathogen identified. Of the 24 patients, 17 were managed by broadspectrum antibiotics and percutaneous renal drainage, whereas 7 were managed by direct nephrectomy. The total mortality rates were 12.5%, regardless of the modalities of management. The mortality rates were 12.5% in Class 3A and 40% in Class 3B, according to computed tomography (CT) findings. Conclusions: Although conservative treatment included antibiotics, and percutaneous renal drainage offered an effective therapy for EPN, nephrectomy should be considered in patients with Class 3 EPN.
URI
http://hdl.handle.net/YU.REPOSITORY/24715
ISSN
1598-8112
Appears in Collections:
의과대학 > 비뇨기과학교실 > Articles
Files in This Item:
There are no files associated with this item.
Export
RIS (EndNote)
XLS (Excel)
XML


qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

BROWSE