Urinary Tract Infections Amongst Adults With Intellectual Disabilities With Urinary Incontinence

IF 2.1 3区 医学 Q2 PSYCHOLOGY, EDUCATIONAL Journal of Applied Research in Intellectual Disabilities Pub Date : 2024-11-07 DOI:10.1111/jar.13317
Janet Finlayson, Nick Gore, Paul Ord, Fiona Roche, John Butcher, Ryan Kean, Dawn A. Skelton
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Abstract

Background

Between 26% and 52% of adults with intellectual disability experience urinary incontinence (UI). Little is known about the implications of urinary tract infections (UTIs) for this group. The aim was to screen for UTIs in a sample of adults with intellectual disability and UI.

Method

Twenty adults with intellectual disability and UI recruited via community intellectual disability health care teams and provided a urine sample. Each sample was tested for the presence of UTI bacteria.

Results

Half of the sample were found to have a possible or probable UTI. Nine adults had also been treated for a UTI within the previous 12 months; six adults had more than once.

Conclusion

UTIs appear to be very common amongst adults with intellectual disability and UI, and careful attention to UTI symptoms, screening and treatment options for this group are recommended. Larger studies on UTI prevalence and associated factors are also warranted.

Trial Registration: ClinicalTrials.gov: NCT05626062

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尿失禁智障成人中的尿路感染。
背景:26% 到 52% 的成年智障人士会出现尿失禁 (UI)。人们对尿路感染(UTI)对这一群体的影响知之甚少。我们的目的是在抽样调查的智障成人和尿失禁患者中筛查尿路感染:方法:通过社区智障保健团队招募了 20 名患有智障和尿路感染的成年人,并提供了尿液样本。每个样本都进行了尿道炎细菌检测:结果:半数样本被发现可能或可能患有尿道炎。九名成年人在过去 12 个月内也曾因尿道炎接受过治疗;六名成年人接受过不止一次治疗:结论:尿毒症似乎在智障和有尿路感染的成年人中非常常见,建议仔细关注该群体的尿毒症症状、筛查和治疗方案。此外,还需要对 UTI 发病率和相关因素进行更大规模的研究:试验注册:ClinicalTrials.gov:试验注册:ClinicalTrials.gov:NCT05626062。
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来源期刊
CiteScore
4.70
自引率
12.50%
发文量
79
期刊介绍: JARID is an international, peer-reviewed journal which draws together findings derived from original applied research in intellectual disabilities. The journal is an important forum for the dissemination of ideas to promote valued lifestyles for people with intellectual disabilities. It reports on research from the UK and overseas by authors from all relevant professional disciplines. It is aimed at an international, multi-disciplinary readership. Topics covered include community living, quality of life, challenging behaviour, communication, sexuality, medication, ageing, supported employment, family issues, mental health, physical health, autism, economic issues, social networks, staff stress, staff training, epidemiology and service provision.
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