FUrTIHF: French urinary tract infections in healthcare facilities – five-year historic cohort (2014–2018)

Lafforest, Sixtine de; Magnier, Anne-Marie; Vallée, M.; Bey, E.; Goux, C.; Saint, F.; Therby, A.; Zahar, Jean‐Ralph; Sotto, Albert; Bruyère, F.; Grammatico‐Guillon, Leslie

doi:10.1016/j.jhin.2021.04.035

Cited by 4 publications

(14 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, incidence varied substantially by sex and age, likely reflecting specific risk factors for UTIs as suggested by our and other studies [2,5,7,10], in that elderly males, sepsis, and comorbid conditions were primarily associated with AP hospitalisation [2,11]. Some studies have also reported a proportion of patients hospitalised to be lower than 20% among young people, especially females, and higher in the elderly [2,10,22]. Differences in incidence rates varied compared with some other Western countries, where in-hospital AP varied widely and was usually less frequent than reported in France [2,5,7,10,23].…”

Section: Discussionsupporting

confidence: 60%

“…The incidence of in-hospital AP increased slightly over the 5-year period, which could be related to an ageing population. However, incidence varied substantially by sex and age, likely reflecting specific risk factors for UTIs as suggested by our and other studies [2, 5, 7, 10], in that elderly males, sepsis, and comorbid conditions were primarily associated with AP hospitalisation [2, 11]. Some studies have also reported a proportion of patients hospitalised to be lower than 20% among young people, especially females, and higher in the elderly [2, 10, 22].…”

Section: Discussionsupporting

confidence: 57%

“…Nevertheless, the microorganism distribution was similar to the literature with E. coli in first rank, followed by other Gram-negative bacilli [10,26]. However, the species documentation was available for only 60% of the AP cases, which was probably due to a lack of pathogen coding as compared with clinical studies [10,24]. Community and hospital-acquired infections cannot be distinguished through medico-administrative databases, which also do not allow to study resistance of isolates.…”

Section: Discussionmentioning

confidence: 80%

“…It contains objective information, including socio-demographics, comorbidities, and previous hospital visits or admissions. Although initially designed for billing purposes, with the improvement in data processing, it has proved a powerful tool for epidemiological surveillance [10,[13][14][15][16][17]. This database gives a hospital stay summary based on diagnostic codes from the 10th revision of the International Classification of Diseases (ICD-10) and procedure codes from the French Current Procedure Terminology (French CPT).…”

Section: Introductionmentioning

confidence: 99%

“…This database gives a hospital stay summary based on diagnostic codes from the 10th revision of the International Classification of Diseases (ICD-10) and procedure codes from the French Current Procedure Terminology (French CPT). As each patient is assigned a unique number, individuals can be followed over time, allowing robust epidemiological studies at the national level [10,[17][18][19][20].…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Factors associated with urinary diversion and fatality of hospitalised acute pyelonephritis patients in France: a national cross-sectional study (FUrTIHF-2)

Grammatico-Guillon,

Laurent,

Fuhrman

et al. 2023

Epidemiol. Infect.

View full text Add to dashboard Cite

Acute pyelonephritis (AP) epidemiology has been sparsely described. This study aimed to describe the evolution of AP patients hospitalised in France and identify the factors associated with urinary diversion and fatality, in a cross-sectional study over the 2014-2019 period. Adult patients hospitalised for AP were selected by algorithms of ICD-10 codes (PPV 90.1%) and urinary diversion procedure codes (PPV 100%). 527,671 AP patients were included (76.5% female: mean age 66.1, 48.0% Escherichia coli), with 5.9% of hospital deaths. In 2019, the AP incidence was 19.2/10,000, slightly increasing over the period (17.3/10,000 in 2014). 69,313 urinary diversions (13.1%) were performed (fatality rate 6.7%), mainly in males, increasing over the period (11.7% to 14.9%). Urolithiasis (OR [95% CI] =33. 1 [32.3-34.0]), sepsis (1.73 [1.69-1.77]) and a Charlson index ≥3 (1.32 [1.29-1.35]) were significantly associated with urinary diversion, whereas E. coli (0.75 [0.74-0.77]) was less likely associated. The same factors were significantly associated with fatality, plus old age and cancer (2.38 [2.32-2.45]). This nationwide study showed an increase in urolithiasis and identified, for the first time, factors associated with urinary diversion in AP along with death risk factors, which may aid urologists in clinical decision-making.

show abstract

Section: Discussionsupporting

confidence: 60%

Section: Discussionsupporting

confidence: 57%

Section: Discussionmentioning

confidence: 80%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Factors associated with urinary diversion and fatality of hospitalised acute pyelonephritis patients in France: a national cross-sectional study (FUrTIHF-2)

Grammatico-Guillon,

Laurent,

Fuhrman

et al. 2023

Epidemiol. Infect.

View full text Add to dashboard Cite

show abstract

Predictors of ultrasound abnormalities among women treated for community-onset acute pyelonephritis: a prospective study

et al. 2022

View full text Add to dashboard Cite

Performance of French medico-administrative databases in epidemiology of infectious diseases: a scoping review

Tassi

Meur

Stéfic

et al. 2023

Front. Public Health

View full text Add to dashboard Cite

The development of medico-administrative databases over the last few decades has led to an evolution and to a significant production of epidemiological studies on infectious diseases based on retrospective medical data and consumption of care. This new form of epidemiological research faces numerous methodological challenges, among which the assessment of the validity of targeting algorithm. We conducted a scoping review of studies that undertook an estimation of the completeness and validity of French medico-administrative databases for infectious disease epidemiological research. Nineteen validation studies and nine capture-recapture studies were identified. These studies covered 20 infectious diseases and were mostly based on the evaluation of hospital claimed data. The evaluation of their methodological qualities highlighted the difficulties associated with these types of research, particularly those linked to the assessment of their underlying hypotheses. We recall several recommendations relating to the problems addressed, which should contribute to the quality of future evaluation studies based on medico-administrative data and consequently to the quality of the epidemiological indicators produced from these information systems.

show abstract

FUrTIHF: French urinary tract infections in healthcare facilities – five-year historic cohort (2014–2018)

Cited by 4 publications

References 20 publications

Factors associated with urinary diversion and fatality of hospitalised acute pyelonephritis patients in France: a national cross-sectional study (FUrTIHF-2)

Factors associated with urinary diversion and fatality of hospitalised acute pyelonephritis patients in France: a national cross-sectional study (FUrTIHF-2)

Predictors of ultrasound abnormalities among women treated for community-onset acute pyelonephritis: a prospective study

Performance of French medico-administrative databases in epidemiology of infectious diseases: a scoping review

Contact Info

Product

Resources

About