Epidemiological and clinical aspects of urinary tract infection in community-dwelling elderly women

Abstract

This study confirmed the high prevalence of UTI among elderly women and its unusual clinical presentation. Diabetes, history of previous UTI, and vaginitis were shown to be predisposing factors for UTI; it is not necessary to treat AB in elderly women, even among diabetics.

Epidemiology of urinary tract infections in type 2 diabetes mellitus patients: An analysis based on a large sample of 456,586 German T2DM patients

“…We also identified additional factors associated with UTI risk, most prominently earlier UTIs and/or earlier infections. This was also shown by Marques et al [20] and Pastore et al [22]. In Models 1-3, a high number of comorbidities as shown by a high CCI, a higher number of prescribed medications, higher number of physician visits and, partly, also by a higher aDCSI as well as previous cancer diagnoses were also associated with a higher UTI risk.…”

“…The majority of published epidemiologic studies have focused on the assessment of UTIs in women only [20][21][22], were mostly limited to specific treatment settings [8,[17][18][19][20][21][22][23][24][25][26][27][28] or have been conducted in developing countries only [9][10][11][12][13][14][15][16][18][19][20]. Additionally, previous research has not adequately assessed UTI risk factors such as patient, disease or treatment characteristics [24][25].…”

Urinary Tract Infection Treatment Pattern of Elderly Patients in a Tertiary Hospital Setup in South India: A Prospective Study

“…17,18 This difference might be because our study was conducted in geriatric populations whose comorbidities such as diabetes mellitus and increasing risk of age related prostate disorders increased its incidence. In our study population, out of all UTI cases, 64.1% of cases have a history of diabetes mellitus whereas the study conducted by Pargavi et al in diabetic patients showed an incidence of 37% of UTI, 18 Marques et al study 19 showed 23.52% had DM-UTI and in Mahesh et al study, 15 42.6% of the study population has a history of diabetes mellitus. This shows that diabetes mellitus is one of the major risk factors for the incidence of UTI.…”

Issues in the Diagnosis and Management of Urinary Tract Infections in the Older Adult

“…An additional concern is the variability in quantitative criteria for a positive urine specimen. Marques [5] 5 cfu/ml of a uropathogen).…”

“…Brazilian women over 65 years of age presenting for a first office visit to a general practitioner or nephrologist for any reason were evaluated for urinary infection in a prospective case series at a single university hospital [5]. Potential genitourinary symptoms were systematically recorded and a urine specimen for culture obtained.…”