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Lower urinary tract signs and symptoms in patients with COVID-19

by Hajebrahimi, Sakineh , Mostafae, Hadi , Heesakkers, John , Salehi-Pourmehr, Hanieh , Rahnama’i, Mohammad Sajjad , Ghojazadeh, Morteza , Vögeli, Thomas Alexander , Marand, Aida Javan Balegh , Janssen, Dick , Bach, Christian

in Blood / Coronaviruses / COVID-19 / Diagnosis / Females / Hematuria / Hospitals / Humans / Infections / Infectious Diseases / Internal Medicine / Kidneys / Leukocytes / Lower urinary tract symptoms (LUTS) / Males / Medical Microbiology / Medicine / Medicine & Public Health / Mortality / Observational studies / Pandemics / Parasitology / Patients / Prospective Studies / Research Article / Risk factors / SARS-CoV-2 / Severe acute respiratory syndrome coronavirus 2 / Signs and symptoms / Tropical Medicine / Urinary Tract / Urinary tract infections / Urine / Urine, leukocyturia / Urogenital system / Viral diseases

2021

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Lower urinary tract signs and symptoms in patients with COVID-19

2021

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Lower urinary tract signs and symptoms in patients with COVID-19

2021

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Journal Article

Lower urinary tract signs and symptoms in patients with COVID-19

Hajebrahimi, Sakineh,

Mostafae, Hadi,

Heesakkers, John,

Salehi-Pourmehr, Hanieh,

Rahnama’i, Mohammad Sajjad,

Ghojazadeh, Morteza,

Vögeli, Thomas Alexander,

Marand, Aida Javan Balegh,

Janssen, Dick,

Bach, Christian

2021

Overview

Background The type of pneumonia that is caused by the new coronavirus (SARS-CoV-2) has spread across the world in a pandemic. It is not clear if COVID-19 patients have any lower urinary tract signs or symptoms. Methods The effect of COVID-19 on lower urinary tract function was studied in a prospective multi-centre, observational study including 238 patients who were admitted with symptoms caused by COVID-19 to the university hospital of Aachen in Germany and Tabriz in Iran. Results None of the patients reported to have any lower urinary tract symptoms. SARS-CoV-2 was found in the urine of 19% of the tested patients. The mortality rate in COVID-19 infected patients with microscopic haematuria together with white blood cells in their urine, was significantly increased from 48 to 61% in the Tabriz cohort ( p -value = 0.03) and from 30 to 35% in the Aachen cohort (p-value =0.045). Furthermore, in the group of patients with SARS-CoV-2 urine PCR, the mortality rate rose from 30 to 58%. ( p -value =0.039). Conclusion Patients admitted with COVID-19 did not report to have any lower urinary tract symptoms, even those patient who had a positive Urine SARS-CoV-2 PCR. In addition, hematuria, WBC in urine as well as SARS- CoV-2 presence in urine, were found to be strong negative prognostic factors in admitted COVID-19 patients.

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Publisher

BioMed Central,BioMed Central Ltd,Springer Nature B.V,BMC

Subject

/ Females