ABSTRACT

The incidence and geographic distribution of urosepsis, a life-threatening condition in older adults, is not well understood. The Florida State Inpatient Databases (2012–2014) showed an increase in the incidence of community-acquired urosepsis (5.37 to 6.16 per 1000), particularly among Hispanic older adults residing in low socioeconomic, urban areas with large numbers of nursing homes. These findings suggest a state policy is needed to address community-based preventative care and education for early detection of urosepsis in low-income urban areas. It is important for local health departments to partner with nursing homes to address disparities in care that disproportionally impact Hispanics.

摘要

尿毒症是一种危及老年人生命的疾病，其发病率和地理分布尚不清楚。佛罗里达州住院患者数据库（2012-2014 年）显示，社区获得性尿脓毒症的发病率有所增加（每 1000 人中有 5.37 至 6.16 人），尤其是居住在拥有大量疗养院的低社会经济、城市地区的西班牙裔老年人。这些发现表明，需要制定一项国家政策来解决以社区为基础的预防性护理和教育，以便在低收入城市地区早期发现尿毒症。当地卫生部门与疗养院合作解决严重影响西班牙裔的护理差异非常重要。