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Factors associated with long-term urinary catheterisation and its impact on urinary tract infection among older people in the community: A population-based observational study in a city in Japan

BMJ Open Jun 24, 2019

Adomi M, et al. - Via a population-based observational study with 32,617 people aged ≥75 years living at home and who used medical services between October 2012 and September 2013, researchers described factors connected to long-term urinary catheterization (LTUC, used for many purposes in community and hospital settings) to assess the risk of urinary tract infection (UTI). They also compared the incidence of UTI between people with vs without LTUC, taking comorbidity and physical function status into account. An independent association between LTUC and male sex, older age, higher comorbidity score, previous history of hospitalization with in-hospital use of urinary catheters, and high long-term care need level was seen. The risk of UTI demanding antibiotics was greater among people with LTUC. After adjusting for comorbidities and long-term care need level, LTUC was independently correlated with the incidence of UTI.

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