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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
1994-11-22
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pubmed:abstractText |
Escherichia coli strains isolated from the urine in 49 consecutive episodes of community-acquired pyelonephritis in adult women were characterized for adhesins and hemolysin production. The mean age of the patients was 56 years and 47% had at least 1 compromising condition. P fimbriae was found in 67% and hemolysin production in 35% of the strains; these figures were significantly (p < 0.001) higher than the corresponding figures (11% for each) among 287 strains isolated from stool of healthy adults (Siitonen A. J Infect Dis 1992; 166: 1058-1065). The prevalence of Non-P mannose-resistant adhesins and type 1C fimbriae was low (4 and 8%, respectively) and did not differ significantly from the corresponding prevalences (1 and 7%) in healthy adults. 74% fo the pyelonephritic (but only 22% of the stool) isolates had at least 1 of these 4 virulence factors (p < 0.001) and 37% and 7%, respectively, had at least 2 (p < 0.001). Nevertheless, the strains represented a wide variety of O:K serotypes without any indication of specially virulent clones. Of the 49 patients 15 had concomitant bacteremia, and in all except 2 compromised elderly patients the urinary and blood isolates were identical.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:issn |
0036-5548
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
26
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
289-96
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:7939428-Adult,
pubmed-meshheading:7939428-Aged,
pubmed-meshheading:7939428-Aged, 80 and over,
pubmed-meshheading:7939428-Bacteremia,
pubmed-meshheading:7939428-Bacterial Typing Techniques,
pubmed-meshheading:7939428-Community-Acquired Infections,
pubmed-meshheading:7939428-Escherichia coli,
pubmed-meshheading:7939428-Escherichia coli Infections,
pubmed-meshheading:7939428-Female,
pubmed-meshheading:7939428-Fimbriae, Bacterial,
pubmed-meshheading:7939428-Humans,
pubmed-meshheading:7939428-Middle Aged,
pubmed-meshheading:7939428-Prospective Studies,
pubmed-meshheading:7939428-Pyelonephritis,
pubmed-meshheading:7939428-Risk Factors
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pubmed:year |
1994
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pubmed:articleTitle |
Community-acquired pyelonephritis in adults: characteristics of E. coli isolates in bacteremic and non-bacteremic patients.
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pubmed:affiliation |
Department of Medicine, Kuopio University Hospital, Finland.
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pubmed:publicationType |
Journal Article,
Comparative Study,
Research Support, Non-U.S. Gov't
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