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The Prevalence of Urinary Tract Infections in Institutionalized vs. Noninstitutionalized Elderly Persons

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대한요로생식기감염학회|2016.08|Urogenital Tract Infection|제11권 제2호|pp. 56-61

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참고문헌

키워드

ElderlyPrevalenceInstitutionalizedUrinary tract infections
주제분류비뇨기과학

초록

This review involves the prevalence of urinary tract infections (UTIs) in elderly persons in Korea. The global average life expectancy has been increasing due to recent advances in medical technology, economic development, and availability of hygienic environment. UTIs and asymptomatic bacteriuria are common diseases in both genders of all ages, but have been particularly increasing in elderly populations. The common causes of this increase are overactive bladder, benign prostatic hyperplasia, and neurogenic bladder. Institutionalized patients are susceptible to bacterial infections due to urinary incontinence, fecal contamination, and poor perineal hygiene. UTIs are the second most common infection, constituting 25% of all infection occurrences in elderly populations living at home. Several studies involving elderly persons living in the community have reported that the prevalence of UTIs is 0.07/person-year in postmenopausal women, 0.12/person-year in elderly persons with diabetes mellitus, and 0.05/person-year in men. The incidence of UTIs in elderly individuals increases with age, particularly in institutionalized elderly patients compared with those at home. However, no study has compared the prevalence of UTIs between institutionalized and noninstitutionalized elderly persons in Korea. Such comparison and evaluation may help to prevent UTIs in elderly Korean people.

Abstract

This review involves the prevalence of urinary tract infections (UTIs) in elderly persons in Korea. The global average life expectancy has been increasing due to recent advances in medical technology, economic development, and availability of hygienic environment. UTIs and asymptomatic bacteriuria are common diseases in both genders of all ages, but have been particularly increasing in elderly populations. The common causes of this increase are overactive bladder, benign prostatic hyperplasia, and neurogenic bladder. Institutionalized patients are susceptible to bacterial infections due to urinary incontinence, fecal contamination, and poor perineal hygiene. UTIs are the second most common infection, constituting 25% of all infection occurrences in elderly populations living at home. Several studies involving elderly persons living in the community have reported that the prevalence of UTIs is 0.07/person-year in postmenopausal women, 0.12/person-year in elderly persons with diabetes mellitus, and 0.05/person-year in men. The incidence of UTIs in elderly individuals increases with age, particularly in institutionalized elderly patients compared with those at home. However, no study has compared the prevalence of UTIs between institutionalized and noninstitutionalized elderly persons in Korea. Such comparison and evaluation may help to prevent UTIs in elderly Korean people.

참고문헌 (44)

  1. Nicolle LE, "Infectious Diseases Society of America guidelines for the diagnosis and treatment of asymptomatic bacteriuria in adults", Clin Infect Dis, 40, pp.643~654 (2005)
  2. Kemper P, "Lifetime use of nursing home care", N Engl J Med, 324, pp.595~600 (1991)
  3. 2013 Care hospital benefit adequacy test results, "Health Insurance Review and Assessment Service", Health Insurance Review & Assessment Service, ~ (2014)
  4. Garibaldi RA, "Infections among patients in nursing homes: policies, prevalence, problems", N Engl J Med, 305, pp.731~735 (1981)
  5. Nicolle LE, "Twelvemonth surveillance of infections in institutionalized elderly men", J Am Geriatr Soc, 32, pp.513~519 (1984)
  6. Nicolle LE, "Infections and antibiotic resistance in nursing homes", Clin Microbiol Rev, 9, pp.1~17 (1996)
  7. Dirks A, "Apoptosis in skeletal muscle with aging", Am J Physiol Regul Integr Comp Physiol, 282, pp.R519~R527 (2002)
  8. Nicolle L, "Bacteremia in a long term care facility", Can J Infect Dis, 5, pp.130~132 (1994)
  9. Song HJ, "A study of voiding patterns and pressure ulcer for the residents of long term care facilities", J Korean Continence Soc, 7, pp.91~97 (2003)
  10. 신찬욱, "부산지역 요양병원 입원환자의 요실금 유병률과 관리실태", Investigative and Clinical Urology, 50(5), pp.450~456 (2009), 대한비뇨기과학회
  11. 이상협, "Incontinence Pad Usage in Medical Welfare Facilities in Korea", International Neurourology Journal, 17(4), pp.186~190 (2013), 대한배뇨장애요실금학회
  12. 김문실, "노인요양시설 거주노인의 요실금 유병률과 관련요인", Journal of Korean Academy of Nursing, 38(1), pp.92~100 (2008), 한국간호과학회
  13. 김계환, "요양병원에서의 배뇨장애 환자관리", 대한의사협회지, 58(6), pp.557~562 (2015), 대한의사협회[DOI]
  14. Flores-Mireles AL, "Urinary tract infections: epidemiology, mechanisms of infection and treatment options", Nat Rev Microbiol, 13, pp.269~284 (2015)
  15. Colgan R, "Asymptomatic bacteriuria in adults", Am Fam Physician, 74, pp.985~990 (2006)
  16. Salvatore S, "Urinary tract infections in women", Eur J Obstet Gynecol Reprod Biol, 156, pp.131~136 (2011)
  17. Laupland KB, "Community-onset urinary tract infections: a population-based assessment", Infection, 35, pp.150~153 (2007)
  18. Dielubanza EJ, "Urinary tract infections in women", Med Clin North Am, 95, pp.27~41 (2011)
  19. Schappert SM, "Ambulatory care visits of physician offices, hospital outpatient departments, and emergency departments:United States, 1995", Vital Health Stat, 13(129), pp.1~38 (1995)
  20. Schaeffer AJ, "Association of vitro Escherichia coli adherence to vaginal and buccal epithelial cells with susceptibility of women to recurrent urinary-tract infections", N Engl J Med, 304, pp.1062~1066 (1981)
  21. Kunin CM, "Urinary-tract infections in schoolchildren. I. Prevalence of bacteriuria and associated urologic findings", N Engl J Med, 266, pp.1287~1296 (1962)
  22. Boscia JA, "Asymptomatic bacteriuria in the elderly", Infect Dis Clin North Am, 1, pp.893~905 (1987)
  23. Juthani-Mehta M, "Asymptomatic bacteriuria and urinary tract infection in older adults", Clin Geriatr Med, 23, pp.585~594 (2007)
  24. Gomolin IH, "Urinary tract infection in the elderly patient", Infect Urol, 13, pp.7~13 (2000)
  25. Woodford HJ, "Diagnosis and management of urinary infections in older people", Clin Med (Lond), 11, pp.80~83 (2011)
  26. Zhanel GG, "Asymptomatic bacteriuria in patients with diabetes mellitus", Rev Infect Dis, 13, pp.150~154 (1991)
  27. Mirsaidov N, "Urinary tract infections in the elderly", Urologe A, 55, pp.494~498 (2016)
  28. Haley RW, "The efficacy of infection surveillance and control programs in preventing nosocomial infections in US hospitals", Am J Epidemiol, 121, pp.182~205 (1985)
  29. Scheckler WE, "Requirements for infrastructure and essential activities of infection control and epidemiology in hospitals: a consensus panel report. Society for Healthcare Epidemiology of America", Infect Control Hosp Epidemiol, 19, pp.114~124 (1998)
  30. Hannan TJ, "Host-pathogen checkpoints and population bottlenecks in persistent and intracellular uropathogenic Escherichia coli bladder infection", FEMS Microbiol Rev, 36, pp.616~648 (2012)
  31. Croxall G, "Increased human pathogenic potential of Escherichia coli from polymicrobial urinary tract infections in comparison to isolates from monomicrobial culture samples", J Med Microbiol, 60, pp.102~109 (2011)
  32. Ruben FL, "Clinical infections in the noninstitutionalized geriatric age group: methods utilized and incidence of infections. The Pittsburgh Good Health Study", Am J Epidemiol, 141, pp.145~157 (1995)
  33. Jackson SL, "Predictors of urinary tract infection after menopause : a prospective study", Am J Med, 117, pp.903~911 (2004)
  34. Griebling TL, "Urologic diseases in America project : trends in resource use for urinary tract infections in men", J Urol, 173, pp.1288~1294 (2005)
  35. Monane M, "Epidemiologic and diagnostic aspects of bacteriuria : a longitudinal study in older women", J Am Geriatr Soc, 43, pp.618~622 (1995)
  36. Caljouw MA, "Predictive factors of urinary tract infections among the oldest old in the general population. A population-based prospective follow-up study", BMC Med, 9, pp.57~ (2011)
  37. O'Donnell JA, "Urinary tract infections. How to manage nursing home patients with or without chronic catheterization", Geriatrics, 57, pp.45~ (2002)
  38. D'Agata E, "Challenges in assessing nursing home residents with advanced dementia for suspected urinary tract infections", J Am Geriatr Soc, 61, pp.62~66 (2013)
  39. Domann E, "Culture-independent identification of pathogenic bacteria and polymicrobial infections in the genitourinary tract of renal transplant recipients", J Clin Microbiol, 41, pp.5500~5510 (2003)
  40. Genao L, "Urinary tract infections in older adults residing in long-term care facilities", Ann Longterm Care, 20, pp.33~38 (2012)
  41. Nicolle LE, "Urinary tract pathogens in complicated infection and in elderly individuals", J Infect Dis, 183(Suppl 1), pp.S5~S8 (2001)
  42. Detweiler K, "Bacteruria and urinary tract infections in the elderly", Urol Clin North Am, 42, pp.561~568 (2015)
  43. Nicolle LE, "The chronic indwelling catheter and urinary infection in long-term-care facility residents", Infect Control Hosp Epidemiol, 22, pp.316~321 (2001)
  44. Gould CV, "Guideline for prevention of catheter-associated urinary tract infections 2009", Infect Control Hosp Epidemiol, 31, pp.319~326 (2010)

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