Bacteriuria and Its Correlates in Old Age

Abstract

Autopsy renal findings were correlated with clinical data during life in 100 aged people. An indwelling catheter in life was associated with raised serum creatinine and also infected renal pathology. Urinary infection itself did not correlate with serum creatinine level, systolic or diastolic blood pressure or infected renal pathology. The presence of any form of renal pathology correlated with elevated serum creatinine and elevated systolic but not diastolic blood pressure.

Management of Complicated Urinary Tract Infection in Older Patients

“…The high prevalence of both chronic genitourinary symptoms and bacteriuria in institutionalized older populations makes the assessment of potential morbidity from UTI problematic. However, it is clear that chronic genitourinary symptoms such as frequency, dysuria, urgency, and incontinence, as well as nonspecific general complaints without localizing genitourinary symptoms, may not be caused by UTI, although many of these individuals are bacteriuric 9,39–41 . In addition, hemorrhagic cystitis manifesting as gross hematuria is not caused by asymptomatic bacteriuria in the institutionalized population 42 …”