Fever, bacteremia, and death as complications of bacteriuria in women with long-term urethral catheters.
Fever, bacteremia, and death as complications of bacteriuria in women with long-term urethral catheters.
复制标题
长期留导尿管的女性菌尿并发症包括发烧、菌血症和死亡。
DOI：
10.1093/infdis/155.6.1151
复制
发表时间：
1987
期刊：
影响因子：
--
通讯作者：
MuncieJr,HL
中科院分区：
文献类型：
--
作者：
Warren,JW;Damron,D;Tenney,JH;Hoopes,JM;Deforge,B;MuncieJr,HL
在美国，疗养院的床位数量现在已经超过了医院的床位，而且通常都是由妇女占据的。尿失禁非常常见，可以通过长期导尿管来治疗。细菌尿总是会发生，但其临床后果尚不清楚。我们研究了47例导尿和细菌尿的妇女，近25病人年。可能的尿源性发热事件的发生率为1.1次/100患者-天。因为这些都是排除性诊断，即使如此低的发病率也可能被高估。这些发作大多数为103.3 C（101.0 F），持续不到一天，无需抗生素治疗即可消退。在这些事件中，有6人死亡，占所有原因死亡总数的一半，发病率是无发热期的60倍。死亡和细菌感染与≥ 38.8 C（102.0 F）的发作显著相关。在个体患者中，这些风险应与患者舒适度、家庭满意度以及褥疮溃疡预防和管理的益处进行权衡。
Numbers of nursing home beds now exceed hospital beds in the United States and are usually occupied by women. Urinary incontinence is very common and may be managed with long-term urethral catheters. Bacteriuria invariably results, yet its clinical consequences are not well known. Westudied 47 catheterized and bacteriuric women for almost 25 patientyears. The incidence of febrile episodes of possible urinary origin was 1.1 episodes/1OO patient-days. Because these were diagnoses of exclusion, even this low incidence may be an overestimate. Most of these episodes were of ⩽38.3 C (101.0 F), lasted for less than one day, and resolved without antibiotic therapy. Six deaths, half the total from all causes, occurred during these episodes, an incidence 60 times that during afebrile periods. Deaths and bacteremias were significantly associated with episodes of ⩾38.8 C (102.0 F). In the individual patient, these risks should be weighed against benefits of patient comfort, family satisfaction, and prevention and management of decubitus ulcers.
登录
查看更多内容
疗养院患者的感染：政策、流行率、问题。
影响因子：
158.5
作者：
R. Garibaldi;S. Brodine;S. Matsumiya
通讯作者：
S. Matsumiya
影响因子：
39.2
作者：
REULER, JB;COONEY, TG
通讯作者：
COONEY, TG
教学疗养院尿失禁不使用导尿术的治疗
影响因子：
6.3
作者：
K. Marron;H. Fillit;Myra Peskowitz;F. Silverstone
通讯作者：
F. Silverstone
需要长期导尿的患者的后遗症和泌尿道感染的治疗。
影响因子：
6.6
作者：
John W. Warren;H. Muncie;Erick J. Bergquist;J. Hoopes
通讯作者：
J. Hoopes
外部泌尿装置：使用和滥用。
影响因子：
2.1
作者：
R. Fauer;J. Morrow
通讯作者：
J. Morrow