Evaluation of Asymptomatic Bacteriuria and Urinary Tract Infection in Patients With Primary Sjögren's Syndrome

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dc.authorid0000-0002-4245-1534
dc.authorid0000-0001-6244-9362
dc.authorid0000-0003-1537-2192
dc.authorid0000-0001-7824-4644
dc.authorscopusid57211635250
dc.authorscopusid56086888000
dc.authorscopusid55671858800
dc.authorscopusid12139962300
dc.authorscopusid57205396027
dc.authorwosidKARASAHİN, Omer/AAM-8456-2021
dc.authorwosidTUFAN, Abdurrahman/A-7613-2016
dc.authorwosidmercan, ridvan/W-3342-2017
dc.contributor.authorÇetin, Zeynep
dc.contributor.authorMercan, Rıdvan
dc.contributor.authorKarasahin, Omer
dc.contributor.authorTufan, Abdurrahman
dc.contributor.authorÖztürk, Mehmet Akif
dc.date.accessioned2022-05-11T14:39:58Z
dc.date.available2022-05-11T14:39:58Z
dc.date.issued2020
dc.departmentFakülteler, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, İç Hastalıkları Ana Bilim Dalı
dc.description.abstractObjectives: This study aims to determine the frequency and risk factors of bacteriuria and urinary tract infection (UTI) in patients with primary Sjogren's syndrome (SS) and their differences from healthy individuals and rheumatoid arthritis (RA) patients. Patients and methods: The study included 107 female primary SS patients (mean age 50.7 +/- 11.6 years; range, 23 to 76 years), 53 healthy female control subjects (mean age 46.8 +/- 15.5 years; range 21 to 80 years), and 40 females with RA (mean age 51.7 +/- 14.2 years; range, 25 to 79 years). Participants were questioned for UTI risk factors and symptoms. Middle stream urine samples were taken and cultured. All participants were examined with urinary symptom questioning survey of American Urological Association (AUA-7). Results: The urine cultures were positive in 18 primary SS patients (16.8%), eight RA patients (20%), and two healthy controls (3.7%). Escherichia coli, enterococci, Klebsiella, streptococci, and candida were detected in SS patients' cultures. Extended-spectrum beta-lactamase was positive in three cultures. Asymptomatic bacteriuria was not detected in any SS patient. The highest AUA-7 score was determined in SS group (p=0.031). Nineteen SS patients had vaginal dryness symptom and their AUA-7 scores were higher than the rest of the SS group. The risk of UTI development was not different between those who had or did not have vaginal dryness. Conclusion: Urinary tract infections are seen more often in SS patients rather than normal population, which may be caused by SS' urinary system effects. It is difficult to distinguish between asymptomatic bacteriuria and infection because of the underlying urinary symptoms. Clinicians must be careful in patients receiving immunosuppressive therapy due to the high frequency of UTIs.
dc.identifier.doi10.46497/ArchRheumatol.2020.7427
dc.identifier.endpage599
dc.identifier.issn2148-5046
dc.identifier.issn1309-0283
dc.identifier.issue4en_US
dc.identifier.pmid33758816
dc.identifier.scopus2-s2.0-85097239029
dc.identifier.scopusqualityQ4
dc.identifier.startpage592
dc.identifier.urihttps://doi.org/10.46497/ArchRheumatol.2020.7427
dc.identifier.urihttps://hdl.handle.net/20.500.11776/8818
dc.identifier.volume35
dc.identifier.wosWOS:000595829400015
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorMercan, Rıdvan
dc.language.isoen
dc.publisherTurkish League Against Rheumatism
dc.relation.ispartofArchives of Rheumatology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectBacteriuria
dc.subjectinfection
dc.subjectSjogren's syndrome
dc.subjecturinary tract
dc.subjectSystemic-Lupus-Erythematosus
dc.subjectRheumatoid-Arthritis
dc.subjectClassification Criteria
dc.subjectGuidelines
dc.subjectCystitis
dc.titleEvaluation of Asymptomatic Bacteriuria and Urinary Tract Infection in Patients With Primary Sjögren's Syndrome
dc.title.alternativeEvaluation of Asymptomatic Bacteriuria and Urinary Tract Infection in Patients With Primary Sjogren's Syndrome
dc.typeArticle

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