经常性下尿道感染:对于老年女性来说,这不仅仅是一个感染
Sencer Ganidağli1, Ercüment Öztürk1, Zeynel Abidin Öztürk1
1Department of Internal Medicine, Division of Geriatric Medicine, Faculty of Medicine, Gaziantep University, Gaziantep, Türkiye Turkiye.
Turkish journal of medical sciences
|May 30, 2024
概括
复发性尿路感染 (rLUTIs) 在老年人中很常见. 手握强度下降,抑郁症得分较高,女性患上更多的并发病是rLUTIs的关键风险因素,这凸显了全面老年患者评估的重要性.
科学领域:
- 老年医学 老年医学
- 传染性疾病 传染性疾病
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 尿路感染 (UTI) 在老年人中更为普遍,复发性下部尿路感染 (rLUTIs) 随着年龄的增长而增加.
- rLUTIs与慢性老年综合征有关,需要对这些人群中的风险因素进行调查.
研究的目的:
- 为了确定影响老年人rLUTIs的危险因素.
- 将综合老年病评估 (CGA) 作为这项调查的框架.
主要方法:
- 一项涉及老年诊所235名老年人的横截面研究.
- 收集的数据包括CGA,验证的问卷 (GDS,EQ-5D,PSQI,ADL,IADL,MNA),手握强度 (HGS),步行速度和跌倒史.
主要成果:
- 64名参与者患有rLUTIs,显示出较高的肉症,高血压,糖尿病,并发症和跌倒率.
- rLUTI患者在ADL,MNA,EQ-5D和步行速度方面得分较差. 在患有rLUTI的女性中观察到较低的HGS.
- 妇女rLUTI的独立预测因素包括更高的并发症数量,更高的GDS得分和更低的HGS.
结论:
- 降低HGS,提高老年抑郁量表 (GDS) 评分和增加并发症负担是老年女性rLUTIs的显著独立风险因素.
- 这些发现强调了CGA在老年人群中rLUTIs的诊断和预防中的关键作用.
相关概念视频
01:20Disorders of the Urinary System
281
The urinary system is responsible for eliminating waste and excess fluids from the body. However, disorders of the urinary system can arise due to various reasons like infections, stress, age, congenital abnormalities, and lifestyle.
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...
281
01:26Sexually Transmitted Infections
300
Sexually transmitted infections (STIs) are diseases transmitted primarily through unsafe sexual interactions. Bacteria, viruses, or parasites cause them and can result in severe health complications if untreated.ChlamydiaThe bacterium Chlamydia trachomatis is responsible for the disease Chlamydia, the most common STI in the United States. This peculiar pathogen requires human cells to reproduce, residing intracellularly. The initial infection often goes unnoticed because it typically does not...
300
01:23Urinary Bladder
598
The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
598
01:20Disorders of the Male Reproductive System
393
Men's health issues are increasingly recognized as significant, with several conditions posing common threats. Among these, testicular cancer is especially prevalent in younger men, particularly those aged 20 to 35 years. The disease often manifests as a painless mass in the testicles, sometimes accompanied by a sensation of heaviness or a dull ache.
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
393
01:24Disorders of the Female Reproductive System
352
The female reproductive system can be affected by several disorders, including Premenstrual Syndrome (PMS), Premenstrual Dysphoric Disorder (PMDD), endometriosis, and various forms of cancer. PMS and PMDD are cyclical conditions that cause physical and emotional distress, with symptoms that include edema, mood swings, and food cravings. PMDD is a more severe form of PMS characterized by increased symptom severity that peaks during the luteal phase and tends to improve or resolve shortly after...
352
01:26The Micturition Reflex
564
Urination, or micturition involves the coordination of the bladder's detrusor muscle and two sphincters to ensure controlled bladder emptying.
The process begins with bladder filling, where the bladder wall stretches as urine accumulates. This stretching activates the urine storage reflex, mediated by the sacral spinal segments and the pontine storage center. Efferent sympathetic impulses stimulate the detrusor muscle to relax and the internal urethral sphincter to contract, facilitating...
The process begins with bladder filling, where the bladder wall stretches as urine accumulates. This stretching activates the urine storage reflex, mediated by the sacral spinal segments and the pontine storage center. Efferent sympathetic impulses stimulate the detrusor muscle to relax and the internal urethral sphincter to contract, facilitating...
564