대한의사협회지 (Journal of the Korean Medical Association)

  • 제60권7호
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  • Pages.550-554
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  • 2017
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  • 1975-8456(pISSN)
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  • 2093-5951(eISSN)
대한의사협회 (Korean Medical Association)
권호 표지
DOI QR코드

DOI QR Code

요양병원 환자에서의 요로감염 관리

Management of urinary tract infection in geriatric hospital patients

  • 김홍욱 (건양대학교 의과대학 건양대학교병원 비뇨기과) ;
  • 김진범 (건양대학교 의과대학 건양대학교병원 비뇨기과) ;
  • 장영섭 (건양대학교 의과대학 건양대학교병원 비뇨기과)
  • Kim, Hong Wook (Department of Urology, Konyang University Hospital, Konyang University College of Medicine) ;
  • Kim, Jin Bum (Department of Urology, Konyang University Hospital, Konyang University College of Medicine) ;
  • Chang, Young Seop (Department of Urology, Konyang University Hospital, Konyang University College of Medicine)
  • 투고 : 2017.05.20
  • 심사 : 2017.06.08
  • 발행 : 2017.07.20
⟨ 이전 논문 다음 논문 ⟩

초록

As the elderly population increases, so does the prevalence of urinary tract infections in the elderly population in long-term care facilities and the associated medical costs. Screening tests and treatment for asymptomatic bacteriuria in elderly residents in the community or in long-term care facilities are not recommended. However, febrile urinary tract infections should be treated with proper antibiotics. Patients who have risk factors for urinary tract infections require prompt therapy. Catheter-associated bacteriuria is the most common hospital-acquired infection. The most important risk factor associated with an increased likelihood of developing catheter-associated bacteriuria is the duration of catheterization. Long-term catheter indwelling should be avoided, and it is necessary to reduce unnecessary catheter insertion. Most patients are asymptomatic, and they do not require treatment. Symptomatic catheter-associated infections should be treated. The best strategy for reducing catheter-associated infections involves careful aseptic insertion of the catheter and maintenance of a closed dependent drainage system. Steps must be taken to reduce urinary tract infections and urinary catheter-related infections in light of the increasing elderly population.

키워드

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