일개 요양병원 입원환자들의 요로감염과 거동불능과의 상관관계
- Author(s)
- 정성
- Issued Date
- 2011
- Abstract
- Background
Recently, The number of nursing hospitals has increased in South Korea. Urinary tract infections are one of the most common diseases dealt in nursing hospitals. This UTI is usually common in the elderly and has a great discomfort in the quality of the elderly's life.
But domestic studies about the UTI in the elderly are rare. Thus, this study was conducted in a nursing hospital to find out epidemiologic characteristics of the UTI in elderly.Method This study was performed in 128 subjects from December 1, 2010 to May 31, 2011 residing in a nursing hospital in G-J City. First, history of UTI symptoms and Physical examination was taken, and collection of urine sample by midstream clean-catch technique or catheterization was performed Next, microscopic urine analysis and urine culture was done three times by every 8weeks.Result 128 patients(male:25, female:103) were observed. The ratio of males to females was 1:4.1. mean age of patients was 80.9(65∼104).
The overall prevalence of UTI in patients was 53.1%(68/128) : 32%(8/25) in males and 58.3% (60/103) in females. The prevalence of UTI in the immobile subject was 67.4% (60/89) and That of mobile subject was 20.5%(8/39). The most common pathogen were Proteus mirabilis(37.4%). followed by E.coli(29.9%), Enterococcus faecalis(7.5%), Pseudomonas aeruginosa(5.6%) in the order.
Conclusion
The prevalence of UTI in the elderly residing in a nursing hospital was higher than those of the elderly residing in a community. In the elderly over 65 year, Immobility is considered as a risk factor of UTI. Thus, we can expect improvement in the quality of life when UTI is well treated in the patients at the nursing hospital by early diagnosis and adequate antibiotics therapy. More efforts should be taken in the elderly for protection of diseases lead to immobility.
- Alternative Title
- The Correlation between Immobility and UTI in the patients at a Nursing Hospital
- Alternative Author(s)
- Jeoung, Sung
- Affiliation
- 조선대학교 대학원
- Department
- 일반대학원 의학과
- Advisor
- 최형호
- Awarded Date
- 2012-02
- Table Of Contents
- 목 차
표 목 차 ⅲ
abstract ⅳ
I. 서론 1
II. 연구대상 및 방법 3
A. 연구설계 3
B. 연구대상 3
C. 연구방법 3
D. 자료처리 및 분석방법 4
Ⅲ. 연구결과 5
A. 연령 및 성별 분포 5
B. 주요 원인균 6
C. 요로감염의 유병률 7
D. 거동 불가능한 노인들과 거동 가능한 노인들에서의 요로감염의 차이 8
E. 요로감염에 영향을 미치는 요인 9
Ⅳ. 고찰 10
Ⅴ. 결론 및 요약 12
참고문헌 13
참고문헌
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2. Ben J Barnett. Urinary tract infection in Ranjit N Ratnaike's Practical Guide to Geriatric Medicine, Sydney, McGraw-Hill Australia. 2002;pp734-45
3. Ko YH, Oh JS, Cho DY, Bea JH, Koh SK. Changes of causative organisms and antimicrobial sensitivity of urinary tract infection between 1979 and 2001. Korean J Urol. 2003 Apr;44(4):342-350
4. Jang WH, Yoo DH, Park SW. Prevalence of and risk factors for levofloxacin-resistant E. coli isolated from outpatients with urinary tract infection. Korean J Urol. 2011 Aug; 52 (8) :554 - 559.
5. Lin YT, Chen LK, Lin MH, Hwang SJ. Asymptomatic bacteriuria among the institutionalized eldery. J Chin Med Assoc. May 2006; 69(5):213-7
6. Gorzoni ML, Pires SL. Deaths in nursing homes. Rev Assoc Med Bras. 2011 Jun;57(3):327-31
7. Seo JP, M.D., Lee SK, M.D., Park YK, Cho KH, M.D., et al : The Study on the bacteriuria in the eldery who reside in a nursing home J Korean Acad Fam Med 2000 Jan; 21(1): 75~83
8. Eberle CM, Eberle, Winsemius D, Garibald RA. Risk factors and consequences of bacteriuriain non-catheterized nursing home residents. J Gerontol 1993; 48(6):266-71
9. Riehmann M, Drinka P, goetzman B, Rhodes P, Langer E, Bruskewitz R. Risk factors for bacteriuria in men. Urology 1994; 4395):617-20.
10. Schaeffer AJ. Urinary tract infections in the eldery. Eur Urol 1991; 19(suppl 1):2-6.
11. Nygaard IE, Johnson JM. Urinary tract infections in eldery women. Am Fam Physician 1996; 53(1):43-54
12. Wie SH. Urinary tract infections in the elderly. Korean J Med. 2010 Oct; 79 (4) :335 - 345
13. Raz R. postmenopausal women with recurrent UTI international Journal of Antimicrobial Agents 2001; 17(4) :269-71
14. Baldassare JS, Kyye D. Special problems of urinary tract infection in the eldery. Med Clin North Am 1991; 75(2):375-90
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- Degree
- Master
- Publisher
- 조선대학교 대학원
- Citation
- 정성. (2011). 일개 요양병원 입원환자들의 요로감염과 거동불능과의 상관관계.
- Type
- Dissertation
- URI
- https://oak.chosun.ac.kr/handle/2020.oak/9412
http://chosun.dcollection.net/common/orgView/200000256857
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