Chronic Kidney Disease and Infection Risk: A Lower Incidence of Peritonsillar Abscesses in Specific CKD Subgroups in a 16-Year Korean Nationwide Cohort Study
Peritonsillar abscesses and deep neck infection are potentially serious infections among patients with chronic kidney disease (CKD), posing risks for severe complications and drawing significant public health concern. This nationwide, population-based longitudinal study (2002–2019) assessed the exte...
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MDPI AG
2024-12-01
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| author | Mi Jung Kwon Ho Suk Kang Joo-Hee Kim Ji Hee Kim Woo Jin Bang Dae Myoung Yoo Na-Eun Lee Kyeong Min Han Nan Young Kim Hyo Geun Choi Min-Jeong Kim Eun Soo Kim |
| author_facet | Mi Jung Kwon Ho Suk Kang Joo-Hee Kim Ji Hee Kim Woo Jin Bang Dae Myoung Yoo Na-Eun Lee Kyeong Min Han Nan Young Kim Hyo Geun Choi Min-Jeong Kim Eun Soo Kim |
| author_sort | Mi Jung Kwon |
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| description | Peritonsillar abscesses and deep neck infection are potentially serious infections among patients with chronic kidney disease (CKD), posing risks for severe complications and drawing significant public health concern. This nationwide, population-based longitudinal study (2002–2019) assessed the extended relationship between chronic kidney disease (CKD) and the likelihood of peritonsillar abscess and deep neck infection in a Korean cohort. Using a 1:4 propensity score overlap-weighted matching, we included 16,879 individuals with CKD and 67,516 comparable controls, accounting for demographic variables and comorbidities to ensure balanced group comparisons. Hazard ratios (HRs) and 95% confidence intervals (CIs) for deep neck infection and peritonsillar abscesses in relation to CKD history were calculated with a propensity score overlap-weighted Cox proportional hazards model. Our results revealed no significant increase in the overall incidence of deep neck infections or peritonsillar abscesses in CKD patients compared to controls. Interestingly, CKD patients demonstrated a 50% reduced likelihood of developing peritonsillar abscesses (HR 0.50; 95% CI = 0.30–0.83; <i>p</i> = 0.007), particularly among subgroups aged 70 years or older, females, non-smokers, rural residents, overweight individuals, and those with lower comorbidity burdens (e.g., absence of hypertension, hyperlipidemia, or hyperglycemia). In summary, the results suggest that lifestyle modifications and the effective management of comorbidities could reduce the risk of peritonsillar abscess in certain CKD subgroups. Our findings may help to alleviate public health concerns regarding peritonsillar abscesses and deep neck infections as CKD-related comorbidities. |
| format | Article |
| id | doaj-art-2e7894b1e1ce45a586c48ad9bc5e1cb3 |
| institution | OA Journals |
| issn | 2076-2607 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Microorganisms |
| spelling | doaj-art-2e7894b1e1ce45a586c48ad9bc5e1cb32025-08-20T02:01:20ZengMDPI AGMicroorganisms2076-26072024-12-011212261410.3390/microorganisms12122614Chronic Kidney Disease and Infection Risk: A Lower Incidence of Peritonsillar Abscesses in Specific CKD Subgroups in a 16-Year Korean Nationwide Cohort StudyMi Jung Kwon0Ho Suk Kang1Joo-Hee Kim2Ji Hee Kim3Woo Jin Bang4Dae Myoung Yoo5Na-Eun Lee6Kyeong Min Han7Nan Young Kim8Hyo Geun Choi9Min-Jeong Kim10Eun Soo Kim11Department of Pathology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang 14068, Republic of KoreaDivision of Gastroenterology, Department of Internal Medicine, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang 14068, Republic of KoreaDivision of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang 14068, Republic of KoreaDepartment of Neurosurgery, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang 14068, Republic of KoreaDepartment of Urology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang 14068, Republic of KoreaHallym Data Science Laboratory, Hallym University College of Medicine, Anyang 14068, Republic of KoreaHallym Data Science Laboratory, Hallym University College of Medicine, Anyang 14068, Republic of KoreaHallym Data Science Laboratory, Hallym University College of Medicine, Anyang 14068, Republic of KoreaHallym Institute of Translational Genomics and Bioinformatics, Hallym University Medical Center, Anyang 14068, Republic of KoreaSuseo Seoul E.N.T. Clinic, 10, Bamgogae-ro 1-gil, Gangnam-gu, Seoul 06349, Republic of KoreaDepartment of Radiology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang 14068, Republic of KoreaDepartment of Radiology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang 14068, Republic of KoreaPeritonsillar abscesses and deep neck infection are potentially serious infections among patients with chronic kidney disease (CKD), posing risks for severe complications and drawing significant public health concern. This nationwide, population-based longitudinal study (2002–2019) assessed the extended relationship between chronic kidney disease (CKD) and the likelihood of peritonsillar abscess and deep neck infection in a Korean cohort. Using a 1:4 propensity score overlap-weighted matching, we included 16,879 individuals with CKD and 67,516 comparable controls, accounting for demographic variables and comorbidities to ensure balanced group comparisons. Hazard ratios (HRs) and 95% confidence intervals (CIs) for deep neck infection and peritonsillar abscesses in relation to CKD history were calculated with a propensity score overlap-weighted Cox proportional hazards model. Our results revealed no significant increase in the overall incidence of deep neck infections or peritonsillar abscesses in CKD patients compared to controls. Interestingly, CKD patients demonstrated a 50% reduced likelihood of developing peritonsillar abscesses (HR 0.50; 95% CI = 0.30–0.83; <i>p</i> = 0.007), particularly among subgroups aged 70 years or older, females, non-smokers, rural residents, overweight individuals, and those with lower comorbidity burdens (e.g., absence of hypertension, hyperlipidemia, or hyperglycemia). In summary, the results suggest that lifestyle modifications and the effective management of comorbidities could reduce the risk of peritonsillar abscess in certain CKD subgroups. Our findings may help to alleviate public health concerns regarding peritonsillar abscesses and deep neck infections as CKD-related comorbidities.https://www.mdpi.com/2076-2607/12/12/2614chronic kidney diseaseperitonsillar abscessdeep neck infectionrisk factorpublic healthlongitudinal cohort study |
| spellingShingle | Mi Jung Kwon Ho Suk Kang Joo-Hee Kim Ji Hee Kim Woo Jin Bang Dae Myoung Yoo Na-Eun Lee Kyeong Min Han Nan Young Kim Hyo Geun Choi Min-Jeong Kim Eun Soo Kim Chronic Kidney Disease and Infection Risk: A Lower Incidence of Peritonsillar Abscesses in Specific CKD Subgroups in a 16-Year Korean Nationwide Cohort Study Microorganisms chronic kidney disease peritonsillar abscess deep neck infection risk factor public health longitudinal cohort study |
| title | Chronic Kidney Disease and Infection Risk: A Lower Incidence of Peritonsillar Abscesses in Specific CKD Subgroups in a 16-Year Korean Nationwide Cohort Study |
| title_full | Chronic Kidney Disease and Infection Risk: A Lower Incidence of Peritonsillar Abscesses in Specific CKD Subgroups in a 16-Year Korean Nationwide Cohort Study |
| title_fullStr | Chronic Kidney Disease and Infection Risk: A Lower Incidence of Peritonsillar Abscesses in Specific CKD Subgroups in a 16-Year Korean Nationwide Cohort Study |
| title_full_unstemmed | Chronic Kidney Disease and Infection Risk: A Lower Incidence of Peritonsillar Abscesses in Specific CKD Subgroups in a 16-Year Korean Nationwide Cohort Study |
| title_short | Chronic Kidney Disease and Infection Risk: A Lower Incidence of Peritonsillar Abscesses in Specific CKD Subgroups in a 16-Year Korean Nationwide Cohort Study |
| title_sort | chronic kidney disease and infection risk a lower incidence of peritonsillar abscesses in specific ckd subgroups in a 16 year korean nationwide cohort study |
| topic | chronic kidney disease peritonsillar abscess deep neck infection risk factor public health longitudinal cohort study |
| url | https://www.mdpi.com/2076-2607/12/12/2614 |
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