Infección de vías urinarias en adultas mayores atendidas en el Centro de Especialidades Daule, 2015
No hay miniatura disponible
Fecha
2016
Título de la revista
ISSN de la revista
Título del volumen
Editor
Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
La infección de las vías urinarias es una de las causas más frecuentes de consulta
en las adultas mayores. Su prevalencia aumenta con la edad ya que el envejecimiento
produce una alteración de los mecanismos defensivos frente a una infección. Además,
este grupo de la población tiene comorbilidades que requieren instrumentación y hasta
hospitalización. Por el aumento de la cobertura de salud a las conyugues de jubilados
y demás mujeres de más de 65 a. que asisten a la consulta externa del centro de
especialidades Daule del IESS durante el año 2015. Se utilizaron los métodos
descriptivos, correlaciónales, transversales no experimentales. Los datos fueron
obtenidos de las historias clínicas, se utilizaron las siguientes variables: edad,
manifestaciones clínicas encontradas que incluyen disuria e incontinencia urinaria,
recurrencia, tratamientos empíricos y uro cultivos. De la muestra de pacientes el
16.1% eran infección de vías urinarias por primera vez y 83.8% con recurrencia. Las
manifestaciones clínicas encontradas fueron la disuria con el 58%, incontinencia
urinaria 24, y asintomáticas 18%. Las comorbilidades más frecuentes representaron
el 49.4% en pacientes con diabetes mellitus, el cistocele 30% y la resequedad vaginal
con 76%. Se concluye que las adultas mayores es el grupo más vulnerable y de mayor
riesgo a sufrir infecciones de vías urinarias
Urinary tract infection is one of the most frequent causes of consultation in older adults. Its prevalence increases with age since aging produces an alteration of the defensive mechanisms against an infection. In addition this group of the population has comorbidities that require instrumentation and even hospitalization. By the increase of the health coverage to the conyugues of pensioners and other women of more than 65 a. Who attend the external consultation of the Daule specialty center of the IESS during the year 2015. Descriptive, correlational, non-experimental transversal methods were used. The data were obtained from the medical records, the following variables were used: sex, age, clinical manifestations found that included dysurea and urinary incontinence, recurrence, empirical treatments and urine cultures. Of the sample of patients, 16.1% were urinary tract infection for the first time and 83.8% with recurrence. The clinical manifestations were dysuria with 58%, urinary incontinence 24, and asymptomatic 18%. The most frequent comorbidities represented 49.4% in patients with diabetes mellitus. Cystocele 30% and vaginal dryness with 76%. It is concluded that older adults are the most vulnerable and at risk group for urinary tract infections
Urinary tract infection is one of the most frequent causes of consultation in older adults. Its prevalence increases with age since aging produces an alteration of the defensive mechanisms against an infection. In addition this group of the population has comorbidities that require instrumentation and even hospitalization. By the increase of the health coverage to the conyugues of pensioners and other women of more than 65 a. Who attend the external consultation of the Daule specialty center of the IESS during the year 2015. Descriptive, correlational, non-experimental transversal methods were used. The data were obtained from the medical records, the following variables were used: sex, age, clinical manifestations found that included dysurea and urinary incontinence, recurrence, empirical treatments and urine cultures. Of the sample of patients, 16.1% were urinary tract infection for the first time and 83.8% with recurrence. The clinical manifestations were dysuria with 58%, urinary incontinence 24, and asymptomatic 18%. The most frequent comorbidities represented 49.4% in patients with diabetes mellitus. Cystocele 30% and vaginal dryness with 76%. It is concluded that older adults are the most vulnerable and at risk group for urinary tract infections
Descripción
PDF
Palabras clave
Anciano, Mujeres, Infecciones urinarias, Centro de Especialidades Daule, Cantón Daule, Ecuador