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

Abstract 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...

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Main Authors: Aida Javan Balegh Marand, Christian Bach, Dick Janssen, John Heesakkers, Morteza Ghojazadeh, Thomas Alexander Vögeli, Hanieh Salehi-Pourmehr, Hadi Mostafae, Sakineh Hajebrahimi, Mohammad Sajjad Rahnama’i
Format: Article
Language:English
Published: BMC 2021-07-01
Series:BMC Infectious Diseases
Subjects:
Online Access:https://doi.org/10.1186/s12879-021-06394-z
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author Aida Javan Balegh Marand
Christian Bach
Dick Janssen
John Heesakkers
Morteza Ghojazadeh
Thomas Alexander Vögeli
Hanieh Salehi-Pourmehr
Hadi Mostafae
Sakineh Hajebrahimi
Mohammad Sajjad Rahnama’i
author_facet Aida Javan Balegh Marand
Christian Bach
Dick Janssen
John Heesakkers
Morteza Ghojazadeh
Thomas Alexander Vögeli
Hanieh Salehi-Pourmehr
Hadi Mostafae
Sakineh Hajebrahimi
Mohammad Sajjad Rahnama’i
author_sort Aida Javan Balegh Marand
collection DOAJ
description Abstract 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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spelling doaj.art-716350ea86874a869d84b1713c43c9902022-12-21T21:45:59ZengBMCBMC Infectious Diseases1471-23342021-07-012111510.1186/s12879-021-06394-zLower urinary tract signs and symptoms in patients with COVID-19Aida Javan Balegh Marand0Christian Bach1Dick Janssen2John Heesakkers3Morteza Ghojazadeh4Thomas Alexander Vögeli5Hanieh Salehi-Pourmehr6Hadi Mostafae7Sakineh Hajebrahimi8Mohammad Sajjad Rahnama’i9Uniklinik RWTH AachenUniklinik RWTH AachenRadboud UniversityRadboud UniversityResearch Center for Evidence-Based Medicine, Tabriz University of Medical SciencesUniklinik RWTH AachenResearch Center for Evidence-Based Medicine, Tabriz University of Medical SciencesMedical University of ViennaResearch Center for Evidence-Based Medicine, Tabriz University of Medical SciencesUniklinik RWTH AachenAbstract 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.https://doi.org/10.1186/s12879-021-06394-zLower urinary tract symptoms (LUTS)COVID-19SARS-CoV-2HematuriaUrine, leukocyturia
spellingShingle Aida Javan Balegh Marand
Christian Bach
Dick Janssen
John Heesakkers
Morteza Ghojazadeh
Thomas Alexander Vögeli
Hanieh Salehi-Pourmehr
Hadi Mostafae
Sakineh Hajebrahimi
Mohammad Sajjad Rahnama’i
Lower urinary tract signs and symptoms in patients with COVID-19
BMC Infectious Diseases
Lower urinary tract symptoms (LUTS)
COVID-19
SARS-CoV-2
Hematuria
Urine, leukocyturia
title Lower urinary tract signs and symptoms in patients with COVID-19
title_full Lower urinary tract signs and symptoms in patients with COVID-19
title_fullStr Lower urinary tract signs and symptoms in patients with COVID-19
title_full_unstemmed Lower urinary tract signs and symptoms in patients with COVID-19
title_short Lower urinary tract signs and symptoms in patients with COVID-19
title_sort lower urinary tract signs and symptoms in patients with covid 19
topic Lower urinary tract symptoms (LUTS)
COVID-19
SARS-CoV-2
Hematuria
Urine, leukocyturia
url https://doi.org/10.1186/s12879-021-06394-z
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