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頁籤選單縮合
題名 | 長期照護機構住民因泌尿道感染而住院之研究=Research on Hospitalization Due to Urinary Tract Infection in a Long-Term Care Facility |
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作者 | 陳勃仲; 柯朝元; 陳睿俊; | 書刊名 | 臺灣老年醫學暨老年學雜誌 |
卷期 | 6:3 2011.08[民100.08] |
頁次 | 頁203-213 |
分類號 | 419.38 |
關鍵詞 | 泌尿道感染; 長期照護機構; 抗藥性; Urinary tract infection; Long-term care facility; Drug-resistance; |
語文 | 中文(Chinese) |
中文摘要 | 目的:探討長期照護機構住民因泌尿道感染而住院的危險因子、感染菌種 及其抗藥性,以提供醫師臨床治療之參考,並建立本土長照流行病學資料。 方法:研究對象為某區域醫院附設護理之家,於2006年1月至2008年12月, 曾入住之住民,進行資料收集,包括:年齡、性別、主要慢性疾病、功能狀態、 是否放置導尿管、致病菌種及其抗藥性等。採用邏輯斯迴歸預測泌尿道感染住 院的危險因子,顯著水準採 p<0.05。 結果:曾入住該護理之家的住民人數共238人,426人次;「曾因泌尿道感 染而住院」者共68人(男性佔38人、55.9%),其年齡、罹患糖尿病、泌尿系 統疾病及放置導尿管之人數皆顯著高於對照組;多變項邏輯斯迴歸顯示,年齡 較高、導尿管放置者、無心臟血壓疾病者及無中樞神經疾病者較易出現泌尿道 感染而住院。尿液培養分離出的菌種以格蘭氏陰性菌居多(76.6%),且抗藥 性菌種佔12.7%。 結論:長期照護機構住民具有特定危險因子者,較易因泌尿道感染而住 院,且抗藥性致病菌種比率高;如能針對具有危險因子的病患,採取較嚴密的 監控與預防措施,降低病患因泌尿道感染而住院的機率,勢必可降低後續的併 發症與醫療費用;國內需更多相關之研究與資料,以提供長期照護實用的資訊。 |
英文摘要 | Objectives: The purpose of the study was to investigate the risk factor and potential pathogen of hospitalization due to urinary tract infection (UTI) in a long-term care facility. Methods: We analyzed the nursing home residents in a regional teaching hospital in northern Taiwan. All subjects had been sampled during the period from January 2006 to December 2008. Data collected included age, sex, the chronic condition, functional status, urinary catheterization status and cultured pathogens. Logistic regression analysis was adopted for multiple variables to predict the risk factors of hospitalization due to UTI. The significant level was set at p < 0.05. Results: A total of 238 cases had been admitted to the nursing home during the study period. Sixty-eight cases had ever been hospitalized for UTI. Those residents who hospitalized due to UTI were significantly older, urinary catheterized, and suffered from diabetes and urological diseases. The risk factors of hospitalization due to UTI were age, urinary catheterization, absence of cardiovascular disease, and absence of central nervous system disease. The most common pathogen was Gram negative microorganism (76.6%), and 12.7% of them was drug resistant. Conclusion: Long-term care facility residents with the identified risk factors are more likely to experience hospitalization due to UTI, and the pathogen appears to have a fairly high drug resistance rate. Applying proper preventive interventions to and frequent monitoring on nursing home residents with the identified risk factors can be expected to reduce the rate of hospitalization due to UTI, prevent subsequent complications, and lower medical cost. More related studies are needed to generate richer and more practical data for strengthening long-term care in Taiwan. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。