{"id":25714,"date":"2026-07-23T10:52:12","date_gmt":"2026-07-23T08:52:12","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=25714"},"modified":"2026-07-23T10:52:12","modified_gmt":"2026-07-23T08:52:12","slug":"hvilke-symptomer-faar-plejepersonale-til-at-mistaenke-urinvejsinfektion","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2026\/07\/23\/hvilke-symptomer-faar-plejepersonale-til-at-mistaenke-urinvejsinfektion\/","title":{"rendered":"Hvilke symptomer f\u00e5r plejepersonale til at mist\u00e6nke urinvejsinfektion?"},"content":{"rendered":"

\"\"<\/p>\n

Chalkidou A, Antsupova V, Theut A, Marloth T, Lykkegaard J, Hansen MP, Sodja N, Kowalczyk A, Monf\u00e0 R, Jaruseviciene L, Garcia-Sangen\u00eds L, Llor C, B\u00e1lint A, Glasa J, Anastasaki M, Jensen JN. Symptoms associated with Urinary Tract Infection in Nursing Home Residents: A Study Among Nursing Home Staff Across Eight European Countries. Infection Prevention in Practice, July 2026, <\/span>doi.org\/10.1016\/j.infpip.2026.100563<\/a><\/p>\n

Jette Nygaard Jensen, seniorforsker, Forskningsenheden for Antibiotic Stewardship og Implementering, Afdeling for Klinisk Mikrobiologi, Herlev og Gentofte Hospital.<\/span><\/em> jette.nygaard.jensen.01@regionh.dk<\/a><\/p>\n

DOWNLOAD RESUM\u00c9<\/a><\/p>\n

Resum\u00e9<\/span><\/strong><\/p>\n

Introduktion
\n<\/span><\/strong>Urinvejsinfektion er en af de hyppigste \u00e5rsager til antibiotikabehandling blandt plejehjemsbeboere. Samtidig ved vi, at mange antibiotikabehandlinger gives, uden at beboeren opfylder de kliniske kriterier for en urinvejsinfektion. En vigtig del af forklaringen kan v\u00e6re, hvilke symptomer der i f\u00f8rste omgang giver anledning til mistanke om urinvejsinfektion. Studiet unders\u00f8gte derfor, hvilke tegn og symptomer der f\u00f8rte til mistanke om urinvejsinfektion hos plejehjemsbeboere.<\/span><\/p>\n

Metode
\n<\/span><\/strong>I et nyt europ\u00e6isk studie (IMAGINE – Improving antibiotic use in long term care facilities by infection prevention and control and antibiotic stewardship) unders\u00f8gte vi, hvilke symptomer plejepersonale umiddelbart forbinder med urinvejsinfektion hos plejehjemsbeboere uden permanent urinvejskateter. I alt deltog 286 medarbejdere fra plejehjem i otte europ\u00e6iske lande. Der blev stillet \u00e9t \u00e5bent sp\u00f8rgsm\u00e5l uden svarmuligheder: “Hvilket eller hvilke tegn og symptomer f\u00e5r dig til at mist\u00e6nke urinvejsinfektion?”.<\/span><\/p>\n

Resultater
\n<\/span><\/strong>Studiet viste, at plejepersonalet ofte n\u00e6vnte klassiske symptomer som svie ved vandladning og hyppig vandladning. Men mange n\u00e6vnte ogs\u00e5 uspecifikke tegn som ildelugtende urin, forvirring og adf\u00e6rds\u00e6ndringer. I Danmark var de tre hyppigst n\u00e6vnte symptomer forvirring, ildelugtende urin og adf\u00e6rds\u00e6ndringer.<\/span><\/p>\n

Diskussion
\n<\/span><\/strong>Resultaterne skal ikke forst\u00e5s som, at plejepersonalet vurderer beboerne forkert. Tv\u00e6rtimod afspejler de den kliniske virkelighed p\u00e5 plejehjem, hvor personalet ofte er de f\u00f8rste til at opdage, at en beboer har \u00e6ndret adf\u00e6rd eller virker anderledes end normalt. Udfordringen er, at disse forandringer kan skyldes mange forskellige tilstande og ikke n\u00f8dvendigvis en urinvejsinfektion.<\/span><\/p>\n

Studiet peger derfor p\u00e5 behovet for fortsat uddannelse og f\u00e6lles kliniske redskaber, der kan underst\u00f8tte vurderingen af mist\u00e6nkte urinvejsinfektioner hos \u00e6ldre. Bedre kendskab til, hvilke symptomer der er relevante i forbindelse med mistanke om urinvejsinfektion, kan bidrage til mere pr\u00e6cis diagnostik og reducere un\u00f8dvendig antibiotikabehandling \u2013 til gavn for b\u00e5de den enkelte beboer og indsatsen mod antibiotikaresistens.<\/span><\/p>\n

Funding:<\/span> IMAGINE-projektet er st\u00f8ttet af EU4Health Program (Grant Agreement 101079838)<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Chalkidou A, Antsupova V, Theut A, Marloth T, Lykkegaard J, Hansen MP, Sodja N, Kowalczyk A, Monf\u00e0 R, Jaruseviciene L, 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