- 【Updated on May 12, 2025】 Integration of CiNii Dissertations and CiNii Books into CiNii Research
- Trial version of CiNii Research Automatic Translation feature is available on CiNii Labs
- Suspension and deletion of data provided by Nikkei BP
- Regarding the recording of “Research Data” and “Evidence Data”
Analysis of UTI in Hospitalized Elderly Patients, with Particular Reference to the Use of Diapers
-
- YASUOKA Akira
- Internal Medicine, Karako Hospital
-
- HAMABE Sadanori
- Internal Medicine, Karako Hospital
-
- TSURUTA Hideo
- Internal Medicine, Karako Hospital
-
- TOMONAGA Hidemi
- Internal Medicine, Karako Hospital
-
- OGATA Hirofumi
- Internal Medicine, Karako Hospital
-
- KOGA Hironobu
- Second Department of Internal Medicine, School of Medicine, Nagasaki University
-
- KOHNO Shigeru
- Second Department of Internal Medicine, School of Medicine, Nagasaki University
-
- HARA Kohei
- Second Department of Internal Medicine, School of Medicine, Nagasaki University
Bibliographic Information
- Other Title
-
- 高齢入院患者における尿路感染症の検討
- 特にオムツ使用の影響
Search this article
Description
We investigated the clinical and laboratory data of 215 hospitalized patients (mean age were 76.9±12.1) to analyze both the characteristics of senile UTI and the influence of the way of urination.<BR>UTI was present in 121 of 1897 patients (6.4%), 95 of whom (78.5%) were female. Comparison of the parameters between non-infected and infected patients were as follows: body temperature was 36.57±0.64°C vs. 37.49±0.77°C; WBC, 5410±2040/μl vs. 7260±3230/μl; CRP, 1.2±2.4 mg/dl vs. 3.5±3.4mg/dl; mean class of urinary RBC, 0-1/hpf vs. 3-5/hpf; and mean class of urinary WBC, 5-10/hpfvs. 30-50/hpf. All parameters were significantly elevated (p<0.001) in the patients with UTI. The rate of detection of causative bacteria was 88.7%; with 14.8% Escherichia coli, 12.8% Providencia species, 9.6% Enterococci, and 8.7% Pseudomonas aeruginosa. Patients with UTI were divided into three groups according to their method of urination: normal urination, use of diapers and catheterization. Body temperature (≥37.5°C) was 2.8%, 10.1% and 34.9%; WBC (≥9.000), 2.7%, 6.1%, and 14.3%; CRP, 16.9%, 36.1% and 51.1%; urine RBC (≥6-10/hpf), 8.4%, 7.1% and 36.1%; urine WBC (≥15-30/hpf), 20.4%, 44.4% and 76.9%, respectively. There was a significant difference (p<0.05-0.001) between all parameters except for urine RBC between the normal-urination patients and diaper using patients. This investigation suggested that the use of diapers was a risk factor for UTI in elderly patients.
Journal
-
- Kansenshogaku Zasshi
-
Kansenshogaku Zasshi 66 (12), 1615-1620, 1992
The Japanese Association for Infectious Diseases
