Frequency of Urinary Tract Infection in Patients Admitted with Acute Appendicitis in a Tertiary-Care Hospital
Abstract
Urinary abnormalities are common in acute appendicitis and may obscure a concurrent urinary tract infection. This study assessed the frequency of culture-confirmed UTI among patients with acute appendicitis. Objective: To determine the frequency of symptomatic culture-confirmed urinary tract infection among patients admitted with acute appendicitis and to evaluate its associated clinical, operative, and microbiological characteristics. Methods: This prospective cross-sectional study was conducted in the Department of Emergency Medicine of Shifa International Hospital from July to December 2024. A total of 80 patients aged 15–60 years with acute appendicitis were enrolled through consecutive sampling. Clinical characteristics, urinary symptoms, laboratory parameters, appendiceal position, operative findings, urinalysis, and urine culture results were recorded. Symptomatic urinary tract infection was defined as significant growth of a recognised urinary pathogen accompanied by urinary symptoms. Antimicrobial susceptibility testing was performed using the Kirby–Bauer disk diffusion method. Data were analysed using SPSS version 26, with a p-value <0.05 considered statistically significant. Results: The mean age of the patients was 27.9 ± 10.8 years, and 47 (58.8%) were male. Symptomatic culture-confirmed urinary tract infection was identified in 14 (17.5%) patients, while asymptomatic bacteriuria and sterile pyuria were found in 4 (5.0%) and 12 (15.0%) patients, respectively.…
How strong is the evidence?
Evidence Hub reads this as a cross-sectional, done in people. Its evidence level is 4 of 5 (Low · observational). Observational designs can show an association but not prove cause. Reported size: 80 participants or records.
Read the paper
Related studies
- Association of lower urinary tract symptoms and OAB severity with quality of life and mental health in China, Taiwan and South Korea: results from a cross-sectional, population-based study
- Ten-Day Quadruple Therapy Comprising Low-Dose Rabeprazole, Bismuth, Amoxicillin, and Tetracycline Is an Effective and Safe First-Line Treatment for Helicobacter pylori Infection in a Population with High Antibiotic Resistance: a Prospective, Multicenter, Randomized, Parallel-Controlled Clinical Trial in China
- The Role of the NLR and PLR in Urinary Tract Infection
- Threat of Antimicrobial Resistance among Pilgrims with Infectious Diseases during Hajj: Lessons Learnt from COVID-19 Pandemic
- Leclercia adecarboxylata urinary tract infection in a patient with bladder cancer and recurrent hematuria
- A Case Series of Staphylococcus lugdunensis Infection in Cancer Patients at an Academic Cancer Institute in the United States
Go deeper in Evidence Hub
Evidence Hub adds a study data sheet (design, sample size, evidence level, key numbers), an AI summary and a chat grounded in the paper's text.