通过改善水合作用减少养老院中的尿路感染。
Reducing urinary tract infections in care homes by improving hydration.
作者信息
Lean Katie, Nawaz Rasanat Fatima, Jawad Sundus, Vincent Charles
机构信息
Patient Safety, Oxford Patient Safety Collaborative, Oxford, UK.
Department of Experimental Psychology, University of Oxford, Oxford, UK.
出版信息
BMJ Open Qual. 2019 Jul 10;8(3):e000563. doi: 10.1136/bmjoq-2018-000563. eCollection 2019.
Dehydration may increase the risk of urinary tract infections (UTIs), which can lead to confusion, falls, acute kidney injury and hospital admission. We aimed to reduce the number of UTIs in care home residents which require admission to hospital. The principal intervention was the introduction of seven structured drink rounds every day accompanied by staff training and raising awareness. UTIs requiring antibiotics reduced by 58% and UTIs requiring hospital admissions reduced by 36%, when averaged across the four care homes. Care home residents benefited from greater fluid intake, which in turn may have reduced infection. Structured drink rounds were a low-cost intervention for preventing UTIs and implemented easily by care staff.
脱水可能会增加尿路感染（UTIs）的风险，而尿路感染会导致意识混乱、跌倒、急性肾损伤和住院。我们旨在减少需要住院治疗的养老院居民的尿路感染数量。主要干预措施是每天安排七次有组织的饮水环节，并伴有工作人员培训和提高认识。在四家养老院中平均计算，需要使用抗生素治疗的尿路感染减少了58%，需要住院治疗的尿路感染减少了36%。养老院居民因摄入更多液体而受益，这反过来可能减少了感染。有组织的饮水环节是预防尿路感染的低成本干预措施，护理人员很容易实施。
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