0
Editor's Correspondence |

Definition of Acute Pyelonephritis vs the Urosepsis Syndrome—Reply

Angelos V. Pefanis, MD
Arch Intern Med. 2003;163(19):2393-2394. doi:10.1001/archinte.163.19.2393-a.
Text Size: A A A
Published online

Extract

In reply

We appreciate the wise comments of Dr Kunin on my and my colleagues' article on prediction of mortality and failure of treatment in adults with acute pyelonephritis.1 Dr Kunin suggests that a more appropriate title for our article would have been "The Urosepsis Syndrome in Adults With Complicated Urinary Tract Infections." We agree with Dr Kunin that proper nomenclature is important to allow proper comparisons to be made. One of the reasons we performed our study was the lack of data, especially in men, on the ability to predict mortality and failure of treatment due to resistant pathogens in patients with the most severe forms of urinary tract infections (UTIs). Indeed, as we state in the introduction of our study,1 numerous studies have focused on antimicrobial resistance of bacteria that cause UTIs in general, without attempts to differentiate the most severe from the most benign (namely, cystitis) forms of UTIs. We have chosen the term acute pyelonephritis to characterize the severe form of UTI because it is an established term in wide clinical use and most clinicians are familiar with it. Nevertheless, we are ready to accept that Dr Kunin's new term urosepsis syndrome would be more appropriate for the patients in our study. After all, the term is of Greek origin and accurate in terms of linguistics. On the other hand, since some of the patients in our study had no complicated UTI, the use of the term complicated UTI in the title of the article would be less appropriate.

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Web of Science® Times Cited: 1

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Topics
PubMed Articles
Jobs
brightcove.createExperiences();