Clinical and microbiological characteristics of urine culture-confirmed genitourinary tuberculosis at medical centers in Taiwan from 1995 to 2007

H. L. Hsu, C. C. Lai, M. C. Yu, F. L. Yu, J. C. Lee, C. H. Chou, C. K. Tan, P. C. Yang, P. R. Hsueh

研究成果: 雜誌貢獻文章

7 引文 (Scopus)

摘要

All patients with urine culture-confirmed genitourinary tuberculosis (GUTB) diagnosed between 1995 and 2007 at two medical centers in northern Taiwan were included in this retrospective study. Genotypes of 48 preserved Mycobacterium tuberculosis (MTB) isolates from these patients were determined by spoligotyping and double repetitive element PCR (DRE-PCR) analysis. Among the 64 patients, 38 (59.4%) were male with a mean ±SD age of 60.3 ± 16.1 years old. The overall mortality rate was 26.2%. Poor prognostic factors included age over 65 years (HR = 4.03; 95%; CI: 1.27-12.76), cardiovascular disease (HR = 5.96; 95% CI: 1.98-17.92), receiving steroids (HR = 10.16; 95% CI: 2.27-45.47), not being treated (HR 4.81; 95% CI 1.12-20.67). Spoligotyping and DRE-PCR of the 48 MTB isolates revealed that 20 (41.7%) belonged to the Beijing family and 40 (83.3%) had a clustering pattern. Identification of a Beijing family isolate was not correlated with drug resistance or mortality. Clustering strains were likely to be resistant to isoniazid (OR = 4.71; 95% CI: 1.10 to 23.53). In this study of patients with urine culture-confirmed GUTB, age and coexisting diseases were independently associated with an unfavorable outcome. The Beijing family was the dominant genotype of GUTB isolates, but did not correlate with drug resistance or outcome.
原文英語
頁(從 - 到)319-326
頁數8
期刊European Journal of Clinical Microbiology and Infectious Diseases
30
發行號3
DOIs
出版狀態已發佈 - 三月 2011

指紋

Taiwan
Tuberculosis
Urine
Mycobacterium tuberculosis
Drug Resistance
Cluster Analysis
Genotype
Polymerase Chain Reaction
Mortality
Isoniazid
Cardiovascular Diseases
Retrospective Studies
Steroids
Beijing

ASJC Scopus subject areas

  • Microbiology (medical)
  • Infectious Diseases

引用此文

Clinical and microbiological characteristics of urine culture-confirmed genitourinary tuberculosis at medical centers in Taiwan from 1995 to 2007. / Hsu, H. L.; Lai, C. C.; Yu, M. C.; Yu, F. L.; Lee, J. C.; Chou, C. H.; Tan, C. K.; Yang, P. C.; Hsueh, P. R.

於: European Journal of Clinical Microbiology and Infectious Diseases, 卷 30, 編號 3, 03.2011, p. 319-326.

研究成果: 雜誌貢獻文章

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abstract = "All patients with urine culture-confirmed genitourinary tuberculosis (GUTB) diagnosed between 1995 and 2007 at two medical centers in northern Taiwan were included in this retrospective study. Genotypes of 48 preserved Mycobacterium tuberculosis (MTB) isolates from these patients were determined by spoligotyping and double repetitive element PCR (DRE-PCR) analysis. Among the 64 patients, 38 (59.4{\%}) were male with a mean ±SD age of 60.3 ± 16.1 years old. The overall mortality rate was 26.2{\%}. Poor prognostic factors included age over 65 years (HR = 4.03; 95{\%}; CI: 1.27-12.76), cardiovascular disease (HR = 5.96; 95{\%} CI: 1.98-17.92), receiving steroids (HR = 10.16; 95{\%} CI: 2.27-45.47), not being treated (HR 4.81; 95{\%} CI 1.12-20.67). Spoligotyping and DRE-PCR of the 48 MTB isolates revealed that 20 (41.7{\%}) belonged to the Beijing family and 40 (83.3{\%}) had a clustering pattern. Identification of a Beijing family isolate was not correlated with drug resistance or mortality. Clustering strains were likely to be resistant to isoniazid (OR = 4.71; 95{\%} CI: 1.10 to 23.53). In this study of patients with urine culture-confirmed GUTB, age and coexisting diseases were independently associated with an unfavorable outcome. The Beijing family was the dominant genotype of GUTB isolates, but did not correlate with drug resistance or outcome.",
author = "Hsu, {H. L.} and Lai, {C. C.} and Yu, {M. C.} and Yu, {F. L.} and Lee, {J. C.} and Chou, {C. H.} and Tan, {C. K.} and Yang, {P. C.} and Hsueh, {P. R.}",
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AU - Lee, J. C.

AU - Chou, C. H.

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