Üst ve Alt Üriner Sistem Enfeksiyonlarinin Ayrımında Bun/Albumin ve Crp/Albumin Yol Gösterici Midir?

Abstract

Amaç: Üriner sistem enfeksiyonları acil servise sık başvuru sebeplerinden bir tanesidir ve bu hasta gurubunda alt ile üst üriner sistem ayrımı hasta takip ve tedavisinde önem arz etmektedir. Bu çalışmanın amacı acil servise başvuran üriner sistem enfeksiyonlarında alt ve üst üriner sistem enfeksiyonu ayrımında CRP/Albumin oranı (CAR) ve BUN/Albumin oranı (BAR) değerlerinin kullanılabilirliğini araştırmaktır. İkincil amacımız ise acil servise başvuran üriner sistem enfeksiyonlarında CAR ve BAR değerinin mortalite tahmin gücünü araştırmaktır. Gereç ve Yöntemler: Çalışma retrospektif gözlemsel olarak planlanmıştır. Acil serviste üriner sistem enfeksiyonu tanısı konulan hastalar çalışmaya dahil edilmiştir. Hasta bilgileri mevcut hastane veri kayıt sistemi üzerinden toplanıp istatistiksel analiz için kullanılmıştır. Hastalar alt ve üst üriner sistem enfeksiyonları olarak 2 gruba ayrılmış ve bu ayırımda CAR ve BAR değerlerinin kullanılabilirliği hesaplanmıştır. Bulgular: Çalışmaya toplam 41 hasta dahil edilmiş olup 17 tanesi kadındır. Tüm hastaların yaş ortalaması 70,66±14,47 olarak hesaplanmıştır. Hastalardan 32 tanesi alt üriner sistem enfeksiyonu iken 9 tanesi üst üriner sistem enfeksiyonudur. 8 hasta mortalite ile sonuçlanmıştır. CAR ve BAR değerlerinin alt ve üst üriner sistem ayırımı ile mortalite tahmininde istatistiksel anlamlı belirteçler olmadığı bulunmuştur. Sonuç: CAR ve BAR değerleri alt ve üst üriner sistem enfeksiyonu ayrımında kullanılabilecek başarılı belirteçler değildir.

Keywords

• BUN/Albumin oranı
• CRP/Albumin oranı
• üriner sistem enfeksiyonları

Do Bun/Albumin and Crp/Albumin Guide the Discrimination of Upper and Lower Urinary Tract Infections?

Abstract

Objectives: Urinary system infections are one of the common causes of admission to the emergency department. And in this patient group, the distinction between upper and lower urinary tract is important in patient follow-up and treatment. The aim of this study is to investigate the usability of CAR and BAR values in the differentiation of lower and upper urinary tract infections in urinary tract infections presenting to the emergency department. Our secondary aim is to investigate the mortality predictive power of CAR and BAR values in urinary tract infections admitted to the emergency department. Material and Methods: The study was planned as a retrospective observational. Patients diagnosed with urinary system infection in the emergency department were included in the study. Patient information was collected over the existing hospital data recording system and used for statistical analysis. The patients were divided into 2 groups as lower and upper urinary tract infections, and the usability of CAR and BAR values in this division was calculated. Results: A total of 41 patients were included in the study and 17 of them were women. The mean age of all patients was calculated as 70.66±14.47 years. While 32 of the patients were lower urinary tract infections, 9 of them were upper urinary tract infections. 8 patients resulted in mortality. It was found that CAR and BAR values were not statistically significant in estimating mortality with the distinction of upper and lower urinary tract. Conclusion: CAR and BAR values are not successful markers that can be used to differentiate the lower and upper urinary tract infection.

Keywords

• BUN/albumin ratio
• CRP/Albumin
• urinary tract infections

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