Pad per day usage, urinary incontinence and urinary tract infections in nursing home residents

Omli, Ragnhild; Skotnes, Liv Heidi; Romild, Ulla; Bakke, August; Mykletun, Arnstein; Kuhry, Esther

doi:10.1093/ageing/afq082

Cited by 60 publications

(62 citation statements)

References 22 publications

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“…The urinary infection prevalence established herein, of approximately 6%, can be considered low if compared to figures reported by other authors (10,36). This fact is directly related to UI, as it represents a risk factor for the development of UI and functional incapacity share the same pathological mechanism, as the instability of the detrusor muscle leads to the increase in risk of falls which, in turn, can cause immobility and functional independency (37).…”

Section: Resultscontrasting

confidence: 45%

“…Also, the results of this study suggest that these actions must also be directed towards the stimulation of functional independence for basic activities of daily living, which is also fundamental to achieve autonomy and quality of life of residents. urinary losses also favor infections of the urinary tract (36). However, the association between both aspects was only maintained in the bivariate analysis herein.…”

Section: Final Considerationsmentioning

confidence: 67%

“…This corroborates the fact that UI seems to be more associated with physical factors, such as physical restrictions and limitations of activities of daily living, than with mental factors (3). Functional incapacity and incontinence are geriatric syndromes that share common causes, and longitudinal studies show that UI represents a risk factor for the reduction of physical capacity and functional decline of basic activities of daily living (36,37). Functionality is related to physical inactivity and deficit of muscle strength that accompanies the aging process, and can limit considerably the autonomy of the elderly.…”

Section: Final Considerationsmentioning

confidence: 99%

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Urinary incontinence in institutionalized elderly: prevalence and impact on quality of life

2015

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Introduction: Urinary incontinence is a geriatric syndrome that generates strong economic and social impacts as well as emotional changes and negative consequences for the health of the elderly. Objective: The objective of this work was to identify the prevalence of urinary incontinence and its associated factors, as well as its impact on quality of life of institutionalized elderly. Materials and methods: A cross-sectional study was conducted herein, with 10 long-term institutions for the elderly of the municipality of Natal (Northeast Brazil). The Minimum Data Set was completed by caregivers to determine the presence of incontinence, and the Short Form of the International Consultation on Incontinence Questionnaire was answered by the elderly, to assess the frequency and amount of urinary leakage, the impact on quality of life, and the type of incontinence. The chi-square test and Fisher's exact test were applied in the bivariate analysis, and logistic regression was utilized for multivariate analysis. Results: The prevalence of urinary incontinence was 42.7% (95% CI: 34.8-50.8). The impact of this condition on daily life was mild in 46.5% of cases, moderate for 29.3% of cases, and severe in 24.1% of cases. The condition was associated with functional impairment (p < 0.001; RP: 4.13).

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Section: Resultscontrasting

confidence: 45%

Section: Final Considerationsmentioning

confidence: 67%

Section: Final Considerationsmentioning

confidence: 99%

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Urinary incontinence in institutionalized elderly: prevalence and impact on quality of life

2015

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“…Studies have pointed to the presence of urinary incontinence as a risk factor for the occurrence of Urinary Tract Infections (UTI) in the older population (7)(8) . However, there are few studies about the mechanisms by which that dysfunction contributes to the occurrence of UTI in older patients.…”

Section: Introductionmentioning

confidence: 99%

“…Transmission of bacteria during the incontinence care, hand hygiene and the use of absorbent devices seem to play an important role in the transmission of pathogenic microorganisms, causing UTI in incontinent people (8) . Urinary tract infections are the most common infections in the older people living in long-term care institutions, representing about 15% to 30% of all infections found in this population and contribute to morbidity and mortality in this age group (7,9) .…”

Section: Introductionmentioning

confidence: 99%

Urinary tract infection: a cohort of older people with urinary incontinence

et al. 2017

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83-23.19) and the incidence density was 3.6 cases/100 people-month of follow-up period. The variables Bacteriuria and Institution presented statistical association with the occurrence of urinary tract infection. Conclusion: It is observed that the incidence of urinary tract infection in the study was smaller than in other similar international and national studies, however this is an important world health problem for the older population, with impact on mortality of these individuals. Descriptors: Urinary Infections; Urinary Incontinence; Older people; Nursing; Long-term Care Institution for the Older Population.RESUMO Objetivo: Avaliar aspectos epidemiológicos da infecção do trato urinário em pacientes idosos com incontinência urinária, residentes em instituições de longa permanência, de Belo Horizonte. Método: Coorte concorrente realizada no período de 01 de abril a 01 de outubro de 2015. O estudo foi realizado em duas instituições de longa permanência, na cidade de Belo Horizonte, MG, com 84 idosos incontinentes. Resultados: A incidência acumulada de infecção do trato urinário foi de 19% (IC 95%: 7,83-23,19) e a densidade de incidência foi de 3,6 casos/100 pessoas-mês de seguimento. As variáveis Bacteriúria e Instituição apresentaram associação estatística com a ocorrência de infecção do trato urinário. Conclusão: Observa-se que a incidência de infecção do trato urinário no estudo foi menor que em outros estudos nacionais e internacionais semelhantes, no entanto trata-se de um importante problema de saúde mundial para os idosos, com impacto na mortalidade desses indivíduos. Descritores: Infecções Urinárias; Incontinência Urinária; Idoso; Enfermagem; Instituição de Longa Permanência para Idosos. RESUMENObjetivo: Analizar los aspectos epidemiológicos de infección del tracto urinario en ancianos con incontinencia urinaria, en residencias para ancianos de Belo Horizonte, Brasil. Método: Se realizó una cohorte del 1º de abril al 1º de octubre de 2015. Se realizó el estudio en dos residencias para ancianos de la ciudad de Belo Horizonte, del cual participaron 84 ancianos con incontinencia urinaria. Resultados: La incidencia acumulada de infección en el tracto urinario fue del 19% (IC 95%: 7,19) y la densidad de la incidencia fue de 3,6 casos/100 personas-mes por seguimiento. Las variables Bacteriuria y la residencia presentaron asociación estadística en la aparición de este tipo de infección. Conclusión: A pesar de que la incidencia 839Urinary tract infection: a cohort of older people with urinary incontinence Melo LS, et al.

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Prevalence of urinary incontinence and associated factors in nursing home residents

Jerez-Roig

Santos

Souza

et al. 2014

Neurourology and Urodynamics

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Pad per day usage, urinary incontinence and urinary tract infections in nursing home residents

Abstract: the use of absorbent pads is associated with an increased risk of developing UTIs. PPD and daily fluid intake are not correlated with the risk of developing UTIs. PPD is an unreliable measure of urinary incontinence in nursing home residents.

Cited by 60 publications

References 22 publications

Urinary incontinence in institutionalized elderly: prevalence and impact on quality of life

Urinary incontinence in institutionalized elderly: prevalence and impact on quality of life

Urinary tract infection: a cohort of older people with urinary incontinence

Prevalence of urinary incontinence and associated factors in nursing home residents

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