Prevention of clinical urinary tract infections in vulnerable very old persons

Leiden Repository

Prevention of clinical urinary tract infections in vulnerable very old persons

Title: Prevention of clinical urinary tract infections in vulnerable very old persons
Author: Caljouw, Monique Adriana Anna
Publisher: Department of Public Health and Primary Care, Faculty of Medicine, Leiden University Medical Center (LUMC), Leiden University
Issue Date: 2015-02-10
Keywords: Geriatrics
Prevention
Urinary tract infection
Long-term care facility
Cranberry
Economic evaluation
ADL disability
Oldest-old
Abstract: Urinary tract infections (UTI) are among the most frequently reported infections among older persons. UTI not only causes several days of illness but may have more severe consequences, such as a decline in functioning, as well as delirium, dehydration, urosepsis, hospitalization, or even death. Annually, 20% of all older persons visit their general practitioner for a UTI and about 50% of the residents in long-term care facilities (LTCF) get a UTI. This thesis describes the possibilities for and the effects of the prevention of UTI in vulnerable very old persons. The first part of this thesis investigates the effect of infections on functioning and explores which vulnerable very old persons would benefit most from UTI prevention. The second part of this thesis describes the results of the CRANBERRY study. A double-blind randomized placebo-controlled multicentre trial in LTCF. This study investigates the effectiveness and costs of cranberry capsule use in the prevention of clinical UTI.
Description: Promotores: J. Gussekloo, H.J.M. Cools
With Summary in Dutch
Faculty: LUMC
Citation: Caljouw, M.A.A.,2015, Doctoral Thesis, Leiden University
ISBN: 9789461696052
Handle: http://hdl.handle.net/1887/31838
 

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application/pdf Part I: Chapter 2 2.353Mb View/Open Full text at publisher site
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application/pdf Chapter 8: Summary in English 1.203Mb View/Open
application/pdf Chapter 9: Summary in Dutch 1.206Mb View/Open
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