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[ORGANIZATION OF MEDICAL CARE FOR ELDERLY PATIENTS UNDER THE CONDITIONS OF THE COVID-19 PANDEMIC]
A O Vasilyev1,2,3, N A Sazonova4, A A Shiryaev1,2
1A. I. Yevdokimov Moscow State University of Medicine and Dentistry, 127473, Moscow, Russian Federation.
Insights
Elderly patients with COVID-19 face significant urinary system complications, including infections and antibiotic resistance. This review analyzes urological care practices for older adults during the pandemic.
Area of Science:
- Urology
- Infectious Diseases
- Geriatrics
Background:
- The COVID-19 pandemic necessitated healthcare system modernization and resource conservation.
- Planned surgical treatments and outpatient care were reduced, impacting high-risk patients like the elderly.
- Urological care for elderly patients required adaptation during the pandemic.
Purpose of the Study:
- To systematically review current practices for providing urological care to elderly patients during the COVID-19 pandemic.
- To analyze the experiences of the MSMSU Urology Department in treating age-related urological conditions amidst the pandemic.
Main Methods:
- Systematic review of existing literature and departmental experience.
- Keyword-based search for relevant studies and practices.
- Analysis of urological care provision for elderly patients in the context of COVID-19.
Main Results:
- Urinary system infections are a leading complication in elderly COVID-19 patients.
- Challenges include catheter-associated infections and antibiotic-resistant bacteria.
- Asymptomatic bacteriuria presents diagnostic and management difficulties in this population.
Conclusions:
- Elderly patients with COVID-19 are prone to urinary tract infections.
- Effective management strategies are crucial for addressing infectious complications in this demographic.
- Adapting urological care is essential for optimizing outcomes in elderly patients during pandemics.
Abstract:
The first report of the new coronavirus infection (COVID-19) appeared at the end of December 2019 and in March,2020 the World Health Organization announced COVID-19 a pandemic. The steady number of newly detected cases increase predetermined the modernization of the global healthcare system, shifting the paradigm of fighting with the COVID-19 pandemic towards maximum resource conservation. The change in the medical care provision for infectious patient's approach led first to a gradual decrease, and then to a complete cessation of planned surgical treatment, outpatient examinations, as well as observation of high-risk patients, which primarily include elderly patients. As a result of this, the key objective of this systematic review was to analyze sources of existing practice of providing urological care to patients of the older age group in the context of the COVID-19 pandemic. In accordance with the search for the keywords, the study reflects world and its own experience of MSMSU Urology Department in the treatment of age-related patients in the current epidemiological situation. The analysis showed that infectious complications from the urinary system take a leading position among the common complications inherent in elderly patients with COVID-19. The development of catheter-associated infection, the occurrence of antibiotic-resistant forms of bacteria, asymptomatic bacteriuria are only a small part of the problems clinicians have to face in newly profiled departments.
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