Huzurevi sakinlerinde bakteriüri sıklığı ve risk faktörleri
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Dosyalar
Tarih
2007
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Giriş: Asemptomatik bakteriüri huzurevlerinde kalan yaşlılarda toplumda yaşayan yaşlılara göre daha fazladır. Bu çalışmanın amacı, Bolu'da huzurevinde kalan yaşlılar arasında asemptomatik bakteriürinin sıklığı ve ilişkili risk ortaya çıkarmaktır. Yöntem ve Gereç: Huzurevinde kalan 42 kişi ziyaret edilerek çalışma için yazılı onayları alınmıştır. Toplam iki hasta çalışma dışı kalmıştır. Kalan 40 kişiden 6'sının idrar yolu infeksiyonu şikayeti olduğu için çalışma dışı bırakılmıştır. Huzurevinde kalan yaşlılardan 24 saat ara ile steril kaplar içinde toplanan iki idrar örneğinin kültürü yapılmış ve 10(5)cfu/ml ve daha fazla üremesi olanlar pozitif olarak değerlendirilmiştir. Bulgular: Yaş ortalaması 74.9 olan 40 hastadan altısının idrar yolu infeksiyonu şikayeti olduğundan çalışma dışı bırakılmıştır ve kalan 34 yaşlıda asemptomatik bakteriüri sıklığı %17.6 ve en sık izole edilen etken Escherichia coli olarak bulunmuştur. Yaş, cinsiyet, uygunsuz antibiyotik kullanımı, inkontinans, diyabet ve invaziv ürolojik girişimlerle ile ASB arasında anlamlı ilişki saptanmamıştır. Sonuç: Sonuç olarak asemptomatik bakteriürinin 60 yaş üzerinde sık rastlanan bir durum olduğu ve tedavi amacıyla antibiyotik uygulanmasına gerek olmadığı, ancak konunun daha geniş serilerle araştırılmasının uygun olacağı kanısına varılmıştır.
Introduction: The aim of this study was to explore the prevalence and related risk factors of asymptomatic bacteriuria among the institutionalized elderly in Bolu. Materials and Method: Forty two instituonalized elderly were visited, and written informed consent were received from each for his study. Those individuals who have the symptoms of urinary tract infection were excluded from the study. Two urinary samples collected to the sterile container from contributors with the interval of 24 hours were cultured, and it was accepted as positif when 10 (5)cfu/ml microorganism has grown. Results: Two individuals did not accept to be included in the study. Six patients having urinary tract infection symptoms were excluded from the study. The asymptomatic bacteriuria among the remaining thirty four patients was found to be 17.6%, and the most common organism was Escherichia coli. There was no relation between the presence of asymptomatic bacteriuria and related factors such as age, sex, inappropriate antibiotic usage, incontinans, diabetes mellitus and invasive urological procedures. Conclusion: As a result, it was concluded that asymptomatic bacteriuria is common above the age of sixty, and unnecessary use of antibiotic should be avoided in this type of patients, although this needs to be confirmed with the studies of larger series.
Introduction: The aim of this study was to explore the prevalence and related risk factors of asymptomatic bacteriuria among the institutionalized elderly in Bolu. Materials and Method: Forty two instituonalized elderly were visited, and written informed consent were received from each for his study. Those individuals who have the symptoms of urinary tract infection were excluded from the study. Two urinary samples collected to the sterile container from contributors with the interval of 24 hours were cultured, and it was accepted as positif when 10 (5)cfu/ml microorganism has grown. Results: Two individuals did not accept to be included in the study. Six patients having urinary tract infection symptoms were excluded from the study. The asymptomatic bacteriuria among the remaining thirty four patients was found to be 17.6%, and the most common organism was Escherichia coli. There was no relation between the presence of asymptomatic bacteriuria and related factors such as age, sex, inappropriate antibiotic usage, incontinans, diabetes mellitus and invasive urological procedures. Conclusion: As a result, it was concluded that asymptomatic bacteriuria is common above the age of sixty, and unnecessary use of antibiotic should be avoided in this type of patients, although this needs to be confirmed with the studies of larger series.
Açıklama
Anahtar Kelimeler
Asemptomatik Bakteriüri, Huzurevi Yaşlıları, Risk Faktörleri, Asymptomatic Bacteriuria, Institutionalized Elderly, Risk Factors
Kaynak
Türk Geriatri Dergisi
Turkish Journal of Geriatrics
Turkish Journal of Geriatrics
WoS Q Değeri
Scopus Q Değeri
Q4
Cilt
10
Sayı
2
