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노인성 요로감염

Urinary tract infections in the elderly

위성헌
대한내과학회 (The Korean Association Of Internal Medicine)|2010.10|대한내과학회지 (The Korean Journal of Medicine)|제79권 제4호|pp. 335-345

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참고문헌

키워드

노인; 방광염; 신우신염; 유치 도뇨관Aged; Cystitis; Pyelonephritis; Indwelling catheter
주제분류내과학

초록

노인에서 요로감염은 흔한 감염증이고, 또한 균혈증의 주요 요인이다. 대부분의 요로감염증은 경미한 임상경과를 보이지만, 일부에서 중증의 패혈증으로 진행될 수 있으며, 특히 노인에서는 생명을 위협하는 치명적인 질환이 될 수 있다. 인구의 고령화가 진행되면서 병원이나 요양시설에 입원하는 노인들이 늘어나고, 특히 요로의 구조적, 기능적 이상이 있거나 이를 유발하는 기타 질환들이 동반된 노인들에서 복잡성 요로감염증이 문제가 되고 있다. 적절한 항균제 치료를 통한 감염증 치료 이외에도 기저 질환의 치료가 재발 방지를 위해 매우 중요하다.

Abstract

The great increase in the numbers of the elderly people is one of the important challenges that our health care systems have to face and prepare. Many infectious diseases are more frequent in elderly persons, because of their decreased immune and physiologic functions. Elderly patients above the age of 65 are known to be at high risk for urinary tract infection. Urinary tract infection is the most common infection and also the first cause of bacteremia in the elderly. Most urinary tract infections in the elderly are either asymptomatic or mild and are easily managed. If left untreated, however, these infections can develop into severe and potentially life-threatening sepsis. Asymptomatic bacteriuria is neither the cause of morbidity nor associated with a higher mortality rate and thus treatment is not recommended. Older persons may not complain of typical urinary symptoms and usually have complicating factors including functional or structural abnormalities of the genitourinary tract. The epidemiology, pathogenesis, diagnosis and management of urinary tract infections in the elderly patients are discussed in this review according to their underlying diseases, sex, symptoms, and infection sites.

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관련 논문AI추천

The Prevalence of Urinary Tract Infections in Institutionalized vs. Noninstitutionalized Elderly Persons허정식대한요로생식기감염학회 · Urogenital Tract Infection2016 · 제11권 제2호요로 감염 임상진료지침 권고안: 무증상 세균뇨, 단순 요로감염, 복잡성 요로감염, 세균성 전립선염대한감염학회, 대한화학요법학회, 대한임상미생물학회, 대한요로생식기감염학회대한감염학회 · Infection and Chemotherapy2011 · 제43권 제1호Clinical Practice Guidelines for the Antibiotic Treatment of Community-Acquired Urinary Tract Infections강철인, 김백남, 김지은, 민승기, 박대원, 여정균, 위성헌, 이승주, 이희영, 하유신대한감염학회 · Infection and Chemotherapy2018 · 제50권 제1호카테터연관 요로감염양승옥대한요로생식기감염학회 · Urogenital Tract Infection2013 · 제8권 제2호여성의 재발성 요로감염 예방김백남대한감염학회 · Infection and Chemotherapy2012 · 제44권 제5호요로감염증의 항생제 요법오성희대한소아감염학회 · Pediatric Infection and Vaccine2003 · 제10권 제1호

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