Global Prevalence of Urinary Tract Infections in the Older Persons: A Systematic Review and Meta-Analysis

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-07-06 DOI:10.1007/s12126-024-09569-6

Reza Pourmirza Kalhori, Azam Faraji, Mohadeseh Yari, Maryam Ganjabi, Mohsen Kazeminia

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Abstract

Urinary Tract Infections (UTIs) as a type of bacterial infection are the most common infections in older people. The present study was conducted with the aim of combining, summarizing, unifying, resolving inconsistencies in the results of preliminary studies, investigating the effect of potential factors and estimating the global prevalence of UTIs in the older persons through a systematic review and meta-analysis. In this systematic review and meta-analysis, the articles published in the period of 1982–2022 were analyzed. The articles were searched in Iranian databases of SID and MagIran, as well as international databases including PubMed, Embase, Scopus, Web of Science (WoS), and Google Scholar through the relevant and validated keywords using MeSH/Emtree. Thirty-six articles with a sample size of 4,207,470 people met the inclusion criteria for meta-analysis. Global prevalence of UTIs in the older persons was 23.6% (95% Confidence Interval: 19.4–28.4). The highest prevalence of UTIs in the older persons was in the following sub-groups: Africa (30%; 95% CI: 12.7–55.8), women (30%; 95% CI: 14.6–51.7), diagnosis with urine culture (25.3%; 95% CI: 18.3–33.8), and residents in the nursing home (47.2%; 95% CI: 24.2–71.5). The results of the present study showed that the prevalence of UTIs was high in the older persons, especially in women and residents of nursing homes. Therefore, it is recommended that health officials and policymakers pay more attention to the prevention and control of UTIs in older adults.

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全球老年人尿路感染患病率：系统回顾与元分析

尿路感染（UTI）作为细菌感染的一种，是老年人最常见的感染。本研究旨在通过系统综述和荟萃分析，合并、总结、统一、解决初步研究结果中的不一致之处，调查潜在因素的影响，并估计全球老年人尿路感染的患病率。在此次系统回顾和荟萃分析中，对 1982-2022 年间发表的文章进行了分析。文章通过使用 MeSH/Emtree 的相关有效关键词在伊朗 SID 和 MagIran 数据库以及 PubMed、Embase、Scopus、Web of Science (WoS) 和 Google Scholar 等国际数据库中进行了检索。符合荟萃分析纳入标准的文章有 36 篇，样本量达 4,207,470 人。老年人尿毒症的总体发病率为 23.6%（95% 置信区间：19.4-28.4）。以下亚群的老年人尿毒症发病率最高：非洲（30%；95% 置信区间：12.7-55.8）、女性（30%；95% 置信区间：14.6-51.7）、经尿液培养确诊（25.3%；95% 置信区间：18.3-33.8）和疗养院居民（47.2%；95% 置信区间：24.2-71.5）。本研究结果表明，尿毒症在老年人中的发病率很高，尤其是女性和疗养院居民。因此，建议卫生官员和政策制定者更加关注老年人尿毒症的预防和控制。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.