Abstract：
OBJECTIVES:To quantify the prevalence of documented urinary tract infection (UTI), nonspecific symptoms, and antibiotic treatment of suspected UTI in nursing homes (NHs) in the tropics and to describe the typical resident likely to receive antibiotic treatment for suspected UTI and factors associated with the development of confusion, fatigue, and restlessness. DESIGN:Cross-sectional. SETTING:Five far north Queensland NHs in tropical Australia. PARTICIPANTS:NH residents (N = 450). MEASUREMENTS:Chart reviews of NH residents between August 28, 2015, and June 21, 2016, to determine the prevalence of documented UTI, new or worsening nonspecific and specific symptoms that are specific or nonspecific to the urinary tract, antibiotic use, medical conditions, and medication factors. RESULTS:UTI accounted for 33% of all current infections treated with antibiotics and 40% of all infections treated with antibiotics within the last 30 days. One in 5 NH residents had received antibiotics within the last 30 days, of which 45% were for UTI. The most significant factors independently associated with antibiotics for UTI were urinary catheter (OR = 13, 95% CI = 2.4-67, P = .003), urinary frequency (OR = 10, 95% CI = 2.2-47, P = .003), fever (OR = 10, 95% CI = 1.3-85, P = .028), new-onset hypotension (OR = 10, 95% CI = 1.4-73, P = .024), and confusion (OR = 8.9, 95% CI = 3.1-26, P < .001). Of these, confusion was the most prevalent factor in the population. CONCLUSION:UTI is commonly documented in NH residents, with new or worsening confusion being one of the strongest factors associated with antibiotic treatment for suspected UTI.
journal_name
J Am Geriatr Socjournal_title
Journal of the American Geriatrics Societyauthors
Mayne S,Sundvall PD,Gunnarsson Rdoi
10.1111/jgs.15179subject
Has Abstractpub_date
2018-02-01 00:00:00pages
274-281issue
2eissn
0002-8614issn
1532-5415journal_volume
66pub_type
杂志文章abstract：OBJECTIVES:To demonstrate reliability and feasibility of a standardized protocol to assess and score quality indicators relevant to pressure ulcer (PU) care processes in nursing homes (NHs). DESIGN:Descriptive. SETTING:Eight NHs. PARTICIPANTS:One hundred ninety-one NH residents for whom the PU Resident Assessment Pr...
journal_title：Journal of the American Geriatrics Society
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更新日期：1995-02-01 00:00:00
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journal_title：Journal of the American Geriatrics Society
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journal_title：Journal of the American Geriatrics Society
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journal_title：Journal of the American Geriatrics Society
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journal_title：Journal of the American Geriatrics Society
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journal_title：Journal of the American Geriatrics Society
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journal_title：Journal of the American Geriatrics Society
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journal_title：Journal of the American Geriatrics Society
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doi：10.1111/j.1532-5415.1998.tb02468.x
更新日期：1998-04-01 00:00:00
abstract：OBJECTIVE:(1) To establish the range of cerebral atrophy across the adult age spectrum in optimally healthy, rigorously evaluated individuals. (2) To determine, across the age spectrum, the relation of gender and cerebral atrophy (as measured by ventricular enlargement) to cognitive function. DESIGN:Cross-sectional co...
journal_title：Journal of the American Geriatrics Society
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doi：10.1111/j.1532-5415.1992.tb02073.x
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journal_title：Journal of the American Geriatrics Society
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journal_title：Journal of the American Geriatrics Society
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更新日期：2019-12-01 00:00:00
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更新日期：2006-01-01 00:00:00
abstract：OBJECTIVES:To estimate lifetime morbidity, mortality, and costs from hip fracture incorporating the effect of deficits in activities of daily living. DESIGN:Markov computer cohort simulation considering short- and long-term outcomes attributable to hip fractures. Data estimates were based on published literature, and ...
journal_title：Journal of the American Geriatrics Society
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更新日期：2012-12-01 00:00:00
