便失禁与尿路感染无关:一项当代病例控制研究
Sabrina L Stair1, Jamie H Yoon2, Kyle A Dymanus2
1Section of Urology and Renal Transplantation, Virginia Mason Franciscan Health, Seattle, Washington, USA.
Neurourology and urodynamics
|July 24, 2024
概括
便失禁 (FI) 与 ambulatory 患者尿路感染 (UTI) 的更高发病率无关. 这些发现挑战了人们对FI导致尿路感染的耻辱信念,这表明需要对患者教育进行重新评估.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 传染性疾病 传染性疾病
- 胃肠病学 胃肠病学
背景情况:
- 尿路感染 (UTI) 是一种常见的感染原因,通常与胃肠道细菌有关.
- 以前关于便失禁 (FI) 作为尿路感染风险因素的研究仅限于医疗机构的人群.
- 关于尿路感染的患者教育有时会不公平地对个人进行污名化,因为他们认为卫生状况不佳有助于感染.
研究的目的:
- 为了调查便失禁 (FI) 与 ambulatory 患者尿路感染 (UTI) 的发展之间的关联.
- 评估FI对非机构化人口中尿路感染发病率的影响.
- 提供基于证据的信息,以重新评估患者咨询,并减少与尿路感染相关的耻辱感.
主要方法:
- 通过使用2018年至2021年的数据进行了回顾性病例控制研究.
- 诊断出FI的3035名患者的倾向性得分与接受查结肠镜检查的3035名对照患者相匹配.
- 匹配标准包括年龄,性别,BMI,种族,种族和并发症. 使用Pearson的 χ2测试分析了FI和UTI之间的关联.
主要成果:
- 这项研究包括6070名患者 (平均年龄64岁;主要是女性).
- 患有FI的患者表现出更高的同时性尿失禁率 (18.62%对10.25%) 和紧急性尿失禁率 (13.28%对11.57%).
- 在FI组和对照组之间没有观察到尿路感染发病率的统计学上显著差异 (p=0.44).
结论:
- 便失禁 (FI) 与 ambulatory 患者尿路感染 (UTI) 的风险增加无关.
- 该研究表明,目前将FI与尿路感染联系在一起的信念可能是不准确的,并导致患者的耻辱感.
- 根据这些发现,建议重新评估有关尿路感染的患者教育和咨询.
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