Incidence and Risk Factors for Urinary Tract Infection in an Elder Home Care Population in Taiwan: A Retrospective Cohort Study.
作者： Wei-Yi Shih , Chia-Chen Chang , Meng-Ting Tsou , Hsin-Lung Chan , Ying-Ju Chen
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摘要: Urinary tract infection (UTI) is a common worldwide. Numerous studies have demonstrated risk factors for UTI in facilities and communities. In this study, we aimed to identify home care patients. Patients who received at least three months 2017 were included. A episode was defined by admission treatment, and/or visit an outpatient department receiving antibiotic prescription. total of 598 patients aged 81.9 years Overall 47% (281) had one episode. After analysis, urinary catheter indwelling the most important factor (odds ratio (OR), 3.21). Underlying diseases (coronary artery disease (CAD), chronic kidney (CKD), diabetes mellitus (DM)) related with OR ranging from 1.46 1.79. Higher Alb (albumin) (OR 0.68) Hb (hemoglobin) 0.91) inversely UTI. Polypharmacy 1.84) lower Barthel index scores 1.62) also different degrees. conclusion, apart unmodifiable factors, avoiding prolonged placement, unnecessary prescriptions, keeping good nutritional status may help prevent
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