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Advisor(s)
Abstract(s)
Introdução: As infecções do trato urinário têm implicações na qualidade de vida das
pessoas idosas. As idosas institucionalizadas têm uma maior predisposição para
adquirir este tipo de infecções devido à exposição a factores de risco como a idade,
as cor-mobilidades, o grau de dependência, a própria institucionalização e ainda as
especificidades do sistema geniturinário da mulher e a menaupausa.
As infecções do trato urinário podem ser classificadas quanto a sua localização,
frequência, gravidade e sintomatologia.
A bacteriúria assintomática não tem indicações para ser tratada enquanto que a
bacteriúria sintomática deve ter um tratamento de acordo com a sua sintomatologia
e o resultado do ambiograma. Importa realçar que as ITUs na população idosa
apresentam sintomas atípicos que não devem ser desvalorizados, tais como dor
abdominal e a desorientação.
Objectivo: Estudar as infecções do trato urinário em idosas institucionalizadas e a
influência dos factores de risco na sua incidência.
Material e Métodos: Foi realizado um estudo descritivo transversal numa amostra de
79 idosas institucionalizadas. A informação foi recolhida através da consulta dos
processos clínicos das idosas. As variáveis estudadas foram: idade, período de
institucionalização, patologias diagnosticadas, número de culturas positivas, data da
colheita, agente etiológico e nível de independência das idosas (Índice de Barthel).
Resultados: Os dados recolhidos foram analisados estatisticamente. A incidência de
infecções urinárias em idosas institucionalizadas situou-se em 39,2% em 2012 e
29,1% em 2013. O agente etiológico mais frequente foi a Escherichia coli,
responsável por 64,8% dos episódios.
Conclusão: As idosas institucionalizadas apresentam um maior risco de infeções do
trato urinário, sendo as idosas com idade superior a 80 anos aquelas que revelam
uma maior predisposição a ter infecções deste tipo. As idosas institucionalizadas com
um nível de dependência superior (avaliado segundo o índice de Barthel)
apresentaram uma maior incidência de infecções do trato urinário assim como as
idosas com Diabetes Mellitus e demências.
Introduction: The urinary tract infections have implications for the quality of life of older people. Institutionalized elderly have a higher predisposition to acquire this type of infections due to exposure to risk factors such as age, co-morbidities, the degree of dependency, institutionalization and the specificity of women’s genitourinary system and menopause. The urinary tract infections can be classified according to their location, frequency, severity and symptomatology. The asymptomatic bacteriuria has indications to be treated while the symptomatic bacteriuria should be treated according to its symptoms and on results of culture of a urine specimen. It should be noted that UTIs in the elderly population have atypical symptoms that should not be undervalued, such as abdominal pain and disorientation. Objective: Study the urinary tract infections in institutionalized elderly and the influence of risk factors on its incidence. Material and Methods: A descriptive cross-sectional study in a sample of 79 institutionalized elderly was conducted. The information was gathered by consulting the medical records. The variables studied were: age, period of the institutionalization, diagnosed pathologies, number of positive urine cultures, date of the urine specimen, the etiological agent and the level of independence of the elderly people (Barthel Index). Results: The collected data were statistically analyzed. The incidence of urinary tract infections in institutionalized elderly women was 39.2% in 2012 and 29.1% in 2013. The most common etiologic agent was Escherichia coli, responsible for 64.8% of episodes. Conclusion: Institutionalized elderly have a higher risk of urinary tract infections, and the elderly aged over 80 years was the group that reveal a greater predisposition to have infections of this type. Institutionalized elderly with a higher level of dependence (assessed according to the Barthel Index) showed a higher incidence of urinary tract infections as well as the elderly with diabetes Mellitus and dementia.
Introduction: The urinary tract infections have implications for the quality of life of older people. Institutionalized elderly have a higher predisposition to acquire this type of infections due to exposure to risk factors such as age, co-morbidities, the degree of dependency, institutionalization and the specificity of women’s genitourinary system and menopause. The urinary tract infections can be classified according to their location, frequency, severity and symptomatology. The asymptomatic bacteriuria has indications to be treated while the symptomatic bacteriuria should be treated according to its symptoms and on results of culture of a urine specimen. It should be noted that UTIs in the elderly population have atypical symptoms that should not be undervalued, such as abdominal pain and disorientation. Objective: Study the urinary tract infections in institutionalized elderly and the influence of risk factors on its incidence. Material and Methods: A descriptive cross-sectional study in a sample of 79 institutionalized elderly was conducted. The information was gathered by consulting the medical records. The variables studied were: age, period of the institutionalization, diagnosed pathologies, number of positive urine cultures, date of the urine specimen, the etiological agent and the level of independence of the elderly people (Barthel Index). Results: The collected data were statistically analyzed. The incidence of urinary tract infections in institutionalized elderly women was 39.2% in 2012 and 29.1% in 2013. The most common etiologic agent was Escherichia coli, responsible for 64.8% of episodes. Conclusion: Institutionalized elderly have a higher risk of urinary tract infections, and the elderly aged over 80 years was the group that reveal a greater predisposition to have infections of this type. Institutionalized elderly with a higher level of dependence (assessed according to the Barthel Index) showed a higher incidence of urinary tract infections as well as the elderly with diabetes Mellitus and dementia.
Description
Keywords
Agentes Etiológicos Factores de Risco Idosas Institucionalizadas Infecções do Trato Urinário