6 research outputs found
Le réseau Sphères (organisation innovante pour la prise en charge de soins en ambulatoire)
PARIS6-Bibl. St Antoine CHU (751122104) / SudocPARIS-BIUM (751062103) / SudocSudocFranceF
Prise en charge en ambulatoire dans le cadre d'une activité en réseau des pneumonies aiguës communautaires
PARIS6-Bibl. St Antoine CHU (751122104) / SudocSudocFranceF
Evaluation de la prise en charge des patients présentant une douleur thoracique au sein du réseau SphereS
PARIS7-Xavier Bichat (751182101) / SudocSudocFranceF
Analyse des facteurs prédictifs de récidive des prostatites aigües bactériennes communautaires au sein d une cohorte prospective de 158 patients pris en charge en ambulatoire par un réseau de santé
PARIS7-Xavier Bichat (751182101) / SudocSudocFranceF
Value of Provoked or Spontaneous Flank Pain in Men with Febrile Urinary Tract Infections
Background: Our objective was to identify the clinical, laboratory and radiological characteristics of febrile urinary tract infections (UTI) in men and to focus on the value of flank pain in these men managed in an ambulatory care system. Methods: A network was designed to manage men with febrile UTI without hospitalization according to an algorithm designed with different specialists. The patients’ characteristics were prospectively recorded and each patient was followed up until completely cured. We artificially divided patients into two groups. Group 1: men without flank pain diagnosed as prostatitis and a second group (Group 2) of men with flank pain or provoked flank pain more likely to have a pyelonephritis. Groups were compared to find arguments to differentiate prostatitis to pyelonephritis. Results: 350 men were included in the study, half of these men reported urinary symptoms (dysuria, urgency and burning urination). The negative predictive values of the nitrite and leukocytes test were poor alone or in combination. The renal ultrasound was never informative. None of the patients failed to respond to the treatment. No difference was found between groups. Conclusions: Laboratory test results and radiological features had a poor predictive value. Men with suspected pyelonephritis did not evolve differently from those with suspected prostatitis. Monitoring and treatment of men with febrile UTI does not seem to depend on the existence of a pyelonephritis suspected after the presence of a lumbar pain. Ambulatory management of febrile UTI is feasible and safe, requiring an efficient network for patient’s surveillance