[The use of antimicrobial agents in a nursing home].
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Biomedical subjects
Publications and source records attributed to H J Cools.
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From the viewpoint of defense against micro-organisms it is diagnostically important to differentiate between frontier activity, frontier incident and invasion through the frontier. The barrier of the older body can be characterised by a multiple vulnerability, injury and pathology. Endogenous and exogenous (including therapeutic) causal factors are discussed. A management of vigilance and treatment of functional disturbances of the barrier of the old body is suggested.
This study evaluated the validity and applicability of a low-cost Urine Leakage Recording Device (ULRD) in a geriatric setting. The ULRD consisted of a thermistor, connected to a portable, digital datalogger. The thermistor was positioned on a commercially available adult diaper. Five healthy females were instructed to void urine in seven behavioural conditions comprising general motor activity patterns of the average, psychogeriatric elderly in-patient. Voids were verbally indicated by the subjects and concomitantly recorded by the ULRD and the observer. After comparing the ULRD records--scored by three independent assessors--with the subjects' reports, on average (SD) 5.3 (0.6) of a total of 10 voids were classified correctly, whereas 9.3 (1.3) false positive events were indicated. None of the subjects reported any inconvenience as a result of the recording procedure. Although the ULRD is easily applicable, we conclude that it seems to be of little value in its present form as a method for long-term ambulatory monitoring of urine leakage.