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关于尿路感染中细菌病原体的季节性、性别特异性和年龄相关性分布的流行病学见解。

Epidemiological insights into seasonal, sex‑specific and age‑related distribution of bacterial pathogens in urinary tract infections.

作者信息

Zhan Zhi-Song, Shi Jing, Zheng Zu-Shun, Zhu Xue-Xia, Chen Juan, Zhou Xin-Yi, Zhang Shi-Yan

机构信息

Clinical Laboratory, Fuding Hospital, Fujian University of Traditional Chinese Medicine, Fuding, Fujian 355200, P.R. China.

出版信息

Exp Ther Med. 2024 Feb 14;27(4):140. doi: 10.3892/etm.2024.12428. eCollection 2024 Apr.

Abstract

Urinary tract infections (UTIs) are prevalent and recurrent bacterial infections that affect individuals worldwide, posing a significant burden on healthcare systems. The present study aimed to explore the epidemiology of UTIs, investigating the seasonal, gender-specific and age-related bacterial pathogen distribution to guide clinical diagnosis. Data were retrospectively collected from electronic medical records and laboratory reports of 926 UTIs diagnosed in Fuding Hospital (Fujian University of Traditional Chinese Medicine, Fuding, China). Bacterial isolates were identified using standard microbiological techniques. χ tests were performed to assess associations between pathogens and the seasons, sex and age groups. Significant associations were found between bacterial species and seasons. exhibited a substantial prevalence in spring (χ, 12.824; P=0.005), while demonstrated increased prevalence in autumn (χ, 16.404; P=0.001). Female patients showed a higher incidence of UTIs. Gram-positive bacteria were more prevalent in males, with showing significant male predominance (χ, 14.607; P<0.001). displayed an age-related increase in prevalence (χ, 17.775; P<0.001), whereas tended to be more prevalent in younger patients (χ, 12.813; P=0.005). These findings highlight the complex nature of UTIs and offer insights for tailored diagnostic and preventive strategies, potentially enhancing healthcare outcomes.

摘要

尿路感染(UTIs)是一种普遍且易复发的细菌感染,影响着全球各地的人群,给医疗系统带来了沉重负担。本研究旨在探讨尿路感染的流行病学,调查其季节性、性别特异性和与年龄相关的细菌病原体分布,以指导临床诊断。我们回顾性收集了福建中医药大学附属福鼎医院确诊的926例尿路感染患者的电子病历和实验室报告。采用标准微生物技术鉴定细菌分离株。进行χ检验以评估病原体与季节、性别和年龄组之间的关联。结果发现细菌种类与季节之间存在显著关联。在春季患病率较高(χ² = 12.824;P = 0.005),而在秋季患病率有所增加(χ² = 16.404;P = 0.001)。女性患者尿路感染的发病率较高。革兰氏阳性菌在男性中更为普遍,[具体细菌名称1]表现出明显的男性优势(χ² = 14.607;P < 0.001)。[具体细菌名称2]的患病率随年龄增长而增加(χ² = 17.775;P < 0.001),而[具体细菌名称3]在年轻患者中往往更为普遍(χ² = 12.813;P = 0.005)。这些发现凸显了尿路感染的复杂性,并为制定针对性的诊断和预防策略提供了见解,有可能改善医疗结果。

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