초록

현재까지 보고 된 적이 없는 한국 노인에서의 요로감염 실태를 파악하기 위해서 55세 이상의 남녀를 대상으로 요로감염의 유병율을 알아보았다. 노인군은 집에 거주하는 특정 지역의 노인(주택거주군)과 양로원에 거주하는 노인(양로원군), 질병으로 병원에 입원한 노인(병원입원군)들을 대상으로 생활양식에 따른 노인의 요로감염 유병율과 연령 및 성별의 차이를 관찰하였다. 또한 이들에서 동반된 기저 질환, 배뇨 상태, 삶의 형태 등을 파악하여 각각이 요로감염에 미치는 영향과 관계를 알아보았다.

Abstract ▼

Urinary tract infection in the elderly is a common debilitating disease which warrants further investigation as the population is ever growing older. Research in this field by leading nations is increasing as social and medical costs are increasing as well. However, even basic epidimiologic data reg

Urinary tract infection in the elderly is a common debilitating disease which warrants further investigation as the population is ever growing older. Research in this field by leading nations is increasing as social and medical costs are increasing as well. However, even basic epidimiologic data regarding urinary tract infection of the elderly in Korea is lacking. We investigated the prevalence of urinary tract infection of the elderly in Korea at the community, housing, and hospital setting and compared their relationship regarding sex, age, underlying disease, presence of voiding symptoms, and life style. A total of 5660 elderly (male 2317, female 3343) composed of 578(male 210, female 368), 78(male 29, female 49) housing, and 5004 (male 2078, female 2926) hospitalized elderly were investigated. The total urinary tract infection rate was 23.2% with male being 22.4% and female 23.8%. The prevalence of community and housing urinary tract infection were 13.8% and 12.8%, respectively. Urinary tract infection was more common in women in the housing setting by nearly two-fold. Approximately 2% of the elderly newly developed hospital urinary tract infection and were mostly related to neurologic disease and was followed by chronic cardiovascular disease. Urinary tract infection was seen commonly in community elderly with endocrine disease, neurologic disease, chronic cardiovascular disease, and tumor in decreasing order. However, neurologic disease was the most common underlying disease related to urinary traction infection in males in this group. The rate of urinary tract infection increased with increasing age in all three groups. Voiding symptoms were observed in 80.45%, 84.62%, and 78.18% of community, housing, and hospitalized elderly, respectively. However, the presence of voiding symptoms or benign prostatic hyperplasia or stress urinary incontinence was not related to the incidence of urinary tract infection in the elderly. Life style habits such as smoking or drinking were not related to urinary tract infection. Our data provides basic data regarding the status of urinary tract infection in the elderly in Korea and clears some of its myths related to voiding symptoms, thus enabling proper treatment and new prevention strategies in the future.

목차 Contents

• 제1장 서론...11
• 제2장 국내 외 연구 현황...14
• 제3장 연구수행 내용 및 결과...15
• 제1절 연구대상 선정 및 분포...15
• 제2절 한국노인에서 요로감염의 유병율...18
• 제3절 한국노인에서의 요로감염의 원인...24
• 제4절 한국노인에서 요로감염과 배뇨장애와의 관계...38
• 제5절 한국노인에서 요로감염에 따른 삶의 형태...47
• 제4장 연구목표 달성도 및 대외기여도...50
• 제5장 연구결과의 활용계획...51
• 참고문헌...52