The effect of COVID‐19 on lower urinary tract symptoms in elderly men

Can, Osman; Erkoç, Mustafa; Özer, Murat; KARAKANLI, Musab Ümeyir; Ötünçtemur, Alper

doi:10.1111/ijcp.14110

Cited by 39 publications

(35 citation statements)

References 20 publications

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“…Our cohort was primarily composed of elderly patients, who often have pre-existing genitourinary (GU) symptoms, and therefore presents a confounding variable in the study. However, this is consistent with a prospective study where lower urinary tract symptoms (LUTS) were increased in elderly men during COVID-19 hospitalization as measured by the International Prostate Symptom Score (IPSS) [ 18 ]. Future studies will evaluate GU symptoms in younger adult patients to see if this is related to age in addition to SARS-CoV-2 infection, and at later time points post SARS-CoV-2 infection.…”

Section: Discussionsupporting

confidence: 90%

Long COVID and COVID-19-associated cystitis (CAC)

et al. 2021

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Section: Discussionsupporting

confidence: 90%

Long COVID and COVID-19-associated cystitis (CAC)

et al. 2021

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“…Moreover, several previous studies described the relationship between psychological stress and the development of abnormal urinary tract signs and symptoms [56,57]. Although few recent reports in the literature showed that COVID-19 infection itself can cause symptoms of urinary tract infection [58][59][60], no study has investigated the association of COVID-19-related psychological distress with urinary tract health. Stress stimulates hypothalamic-pituitary-adrenal (HPA) and sympathetic-adrenal-medullary (SAM) axes.…”

Section: Discussionmentioning

confidence: 99%

COVID-19-Associated Mental Health Impact on Menstrual Function Aspects: Dysmenorrhea and Premenstrual Syndrome, and Genitourinary Tract Health: A Cross Sectional Study among Jordanian Medical Students

Aolymat

Khasawneh

Al‐Akchar

2022

IJERPH

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The physiology of reproduction is affected by psychological distress through neuroendocrine pathways. Historically, COVID-19 is one of the most stressful events with devastating consequences. This research aims to investigate the relationship between dysmenorrhea, PMS, and reproductive tract health on one hand, and COVID-19-related anxiety, depression, and stress on the other among medical students in Jordan. Medical students were invited through teaching platforms and social media to complete an online survey. SPSS software was used to analyze data. A total of 385 medical students participated in this research. Hence, 49.9% of the study population reported severe dysmenorrhea during COVID-19 compared to 36.9% before COVID-19 (p = 0.000). Dysmenorrhea was significantly associated with disruptions of sport and daily activities during COVID-19 (p = 0.015 and p = 0.002, respectively). The prevalence of PMS components, e.g., mastalgia, fatigue, headache, palpitation, and emotional and sleep disturbances, was raised during COVID-19 compared with before (p < 0.05). Symptoms of genitourinary tract infections, such as lower abdominal pain, vaginal discharge, genitalia rash/ulcers and itching, and urgency, were significantly increased after COVID-19 (p < 0.05). Positive Pearson correlations between COVID-19-associated mental health disorders and dysmenorrhea severity, PMS, and genital tract health abnormalities were observed (p < 0.05). The multiple linear regression model revealed that dysmenorrhea severity, PMS symptoms like palpitation, and genitourinary symptoms like lower abdominal pain and urgency were associated with worsening of depression, while dysuria was associated with a protective effect against depression. Moreover, it was observed that dysmenorrhea severity, PMS symptoms, such as headache and palpitation, and urinary urgency were associated with aggravation of anxiety. However, food craving and dysuria were protective against anxiety. Finally, dysmenorrhea severity, PMS symptoms of headache and palpitation, lower abdominal pain, and urgency were related to worsening of stress, whereas the premenstrual symptom of breast pain was a protective factor against stress. This work showed that COVID-19 pandemic-related psychological distress and menstrual, premenstrual, and genitourinary symptoms are closely related. Further future work is required to evaluate the long lasting-effects of the pandemic on mental health and the physiology of reproduction.

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“…Amongst the urinary isolates, the culture positivity increased to almost double (15% versus 8.3%) during the pandemic in comparison to previous year. A study by Can O et al showed that urine tract infections were significantly increased in elderly patients after COVID-19 infection [ 47 , 48 ]. Escherichia coli remained the most common pathogen followed by Enterococcus, Staphylococcus and Klebsiella pneumoniae in the urine samples of the COVID patients.…”

Section: Discussionmentioning

confidence: 99%

Paradigm Shift in Antimicrobial Resistance Pattern of Bacterial Isolates during the COVID-19 Pandemic

et al. 2021

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Antimicrobial resistance (AMR) is an emerging public health problem in modern times and the current COVID-19 pandemic has further exaggerated this problem. Due to bacterial co-infection in COVID-19 cases, an irrational consumption of antibiotics has occurred during the pandemic. This study aimed to observe the COVID-19 patients hospitalized from 1 March 2019 to 31 December 2020 and to evaluate the AMR pattern of bacterial agents isolated. This was a single-center study comprising 494 bacterial isolates (blood and urine) that were obtained from patients with SARS-CoV-2 admitted to the ICU and investigated in the Department of Microbiology of a tertiary care hospital in Delhi, India. Out of the total bacterial isolates, 55.46% were gram negative and 44.53% were gram positive pathogens. Of the blood samples processed, the most common isolates were CoNS (Coagulase Negative Staphylococcus) and Staphylococcus aureus. Amongst the urinary isolates, most common pathogens were Escherichia coli and Staphylococcus aureus. A total of 60% MRSA was observed in urine and blood isolates. Up to 40% increase in AMR was observed amongst these isolates obtained during COVID-19 period compared to pre-COVID-19 times. The overuse of antibiotics gave abundant opportunity for the bacterial pathogens to gradually develop mechanisms and to acquire resistance. Since the dynamics of SARS-COV-2 are unpredictable, a compromise on hospital antibiotic policy may ultimately escalate the burden of drug resistant pathogens in hospitals. A shortage of trained staff during COVID-19 pandemic renders it impossible to maintain these records in places where the entire hospital staff is struggling to save lives. This study highlights the extensive rise in the use of antibiotics for respiratory illness due to COVID-19 compared to antibiotic use prior to COVID-19 in ICUs. The regular prescription audit followed by a constant surveillance of hospital infection control practices by the dedicated teams and training of clinicians can improve the quality of medications in the long run and help to fight the menace of AMR.

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The effect of COVID‐19 on lower urinary tract symptoms in elderly men

Cited by 39 publications

References 20 publications

Long COVID and COVID-19-associated cystitis (CAC)

Long COVID and COVID-19-associated cystitis (CAC)

COVID-19-Associated Mental Health Impact on Menstrual Function Aspects: Dysmenorrhea and Premenstrual Syndrome, and Genitourinary Tract Health: A Cross Sectional Study among Jordanian Medical Students

Paradigm Shift in Antimicrobial Resistance Pattern of Bacterial Isolates during the COVID-19 Pandemic

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