高齢女性の尿路感染症:臨床レビュー
Lona Mody1, Manisha Juthani-Mehta2
1Divisions of Geriatric and Palliative Care Medicine, University of Michigan, Ann Arbor2Geriatric Research Education and Clinical Center, Veteran Affairs Ann Arbor Healthcare System, Ann Arbor, Michigan.
JAMA
|February 27, 2014
まとめ
高齢女性における無症状のバクテリアウリアは一般的であり,一時的で,通常は治療なしで治る. 症状のある尿路感染症 (UTI) は,再発を防ぐために慎重に診断と管理する必要があります.
科学分野:
- ゲリアトリクス ゲリアトリクス
- 感染症 感染症は感染症です.
- 泌尿器科 泌尿器科とは
背景:
- 無症状の細菌尿および症状の尿路感染症 (UTIs) は,高齢の女性では頻繁に見られます.
- これらの条件を区別することは,適切な管理に不可欠です.
研究 の 目的:
- 症状のないバクテリウリアと症状のある尿路感染症の管理をレビューする.
- コミュニティに住む高齢女性における再発性尿路感染症の予防のための戦略を見直す.
主な方法:
- オヴィディウス (Medline,PsycINFO,Embase) の英語の人類研究のための体系的な文献検索.
- 対象となった研究は,65歳以上の成人を対象としたものであった.
- データ収集は1946年から2013年11月20日まで.
主要な成果:
- 無症状のバクテリウリアは,高齢の女性では一時的なもので,しばしば治療なしで自己解決し,罹病率や死亡率と関連していない.
- 症状性尿路感染症の診断には,臨床的な症状 (例えば,発熱,急性,ジズーリア) と,実験室での確認 (尿培養,ピウリア) が必要です.
- 再発性尿路感染症の危険因子には,糖尿病,機能障害,および以前の泌尿器内科手術が含まれます. 慢性抑制抗生物質と陰道エストロゲンは予防に有効です.
結論:
- 高齢女性における症状性尿路感染症の正確な診断は,臨床評価と実験室検査を必要とします.
- 無症状のバクテリウリアは,高齢の女性では治療すべきではありません.
- 症状のないバクテリアウリアと症状のあるUTIを区別することは,適切な患者のケアに不可欠です.
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