Bacteriuria and Survival in Old Age

Dontas, A. S.; Kasviki-Charvati, Popi; Papanayiotou, P.; Marketos, S.

doi:10.1056/nejm198104163041604

Cited by 180 publications

(57 citation statements)

References 20 publications

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“…Serum creatinine values in patients with significant bacteriuria did not differ from those of the rest of the patients. This 'abnormality' con firms our opinion that we must consider the increased positive urinary 'abnormalities' in the very old either as a normal phenomenon connected with ageing [1,10] or as a reflec tion of other disease processes present [4,8]. Significant bacteriuria should be treated with drugs only when the aged patient has symp toms of UTI.…”

Section: Discussionmentioning

confidence: 99%

Urinary Characteristcs and Infection in the Very Aged

Heinämäki¹,

Haavisto²,

Mattila³

et al. 1984

Gerontology

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In the course of a health survey covering 561 inhabitants of Tampere, Finland, aged 85 or over, morning urine specimens were studied. 82% of the participants were women. Significant bacteriuria was recorded in 27% of the subjects, 13% of the men and 30% of the women. Pyuria was recorded in 47% of the total material. Replying to the questionnaire, 5% of the subjects reported urinary symptoms and 7% reported to be suffering from urinary tract infection (UTI) diagnosed by a physician. The prevalence of drug-treated UTI was 9% of the subjects replying to the questionnaire. Although positive urinary ‘abnormalities’ are common in very old people, they do not cause significant distress and do not constitute a disease requiring drug treatment in asymptomatic old people.

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Section: Discussionmentioning

confidence: 99%

Urinary Characteristcs and Infection in the Very Aged

Heinämäki¹,

Haavisto²,

Mattila³

et al. 1984

Gerontology

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“…Two patients of the 500 ultimately may have benefited from eradication of asymptomatic bacteriuria (although eradication of asymptomatic bacteriuria has not been shown to improve the quality of life, or extend life). [16][17][18][19] Studies show that history and physical examination are the best measures for screening for disease. Delahunt and Turnbull 2~ evaluated patients who were assessed preoperatively for varicose vein stripping or inguinal hemiorrhaphy.…”

Section: Routine Laborawry Testing Is Not the Most Effective Way Of Ementioning

confidence: 99%

Preoperative patient evaluation

Roizen

1989

Can J Anaesth

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“…On the contrary, they may have side-eÂects and can select for antibioticAlthough two studies initially showed a decreased survival in bacteriuric compared with non-bacteriuric resistant strains. Overall, only three presentations (4%) in the present patients [16,17] several more recent studies showed no increase in mortality in this patient group [18][19][20][21]. study were managed ideally, considering the three avenues of management.…”

Section: Resultsmentioning

confidence: 82%

Management of the long‐term urinary catheter in the asymptomatic patient in the Accident and Emergency department

Wiseman

1997

British Journal of Urology

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Objective To determine the management of long-term despite having no symptoms of a urinary tract infection. urinary catheters in the asymptomatic patient in the Accident and Emergency (A&E) Department.Conclusions All patients with long-term urinary catheters will have bacteriuria and performing investiPatients and methods Using data obtained from patient records, a retrospective study was undertaken of 41 gations on this urine if the patient is asymptomatic is a waste of resources. Long-term urinary catheters patients who presented to the A&E department of a large district general hospital, on a total of 80 which become blocked usually do so by encrustation on the luminal surface of the catheter. Flushing these occasions in a 6-month period, with blocked or bypassing long-term urinary catheters, but who were catheters may dislodge some of these encrustations, but ideally the catheter should be changed. The preotherwise asymptomatic. Results In 78% of presentations, patients had one or scribing of antibiotics to asymptomatic patients with bacteriuria has no proven benefit, but on the contrary more investigations performed on their urine, which in 15% was on urine aspirated through an old, it may cause harmful side-eÂects and also selects for antibiotic-resistant bacteria. These patients should be unchanged catheter. In 23% of presentations, patients were discharged only having had their catheters managed in the A&E department with a simple catheter change. flushed, and in only 41% was the catheter changed as the first line of management. Finally, in 63% of Keywords Urinary catheter, long-term, blocked, bypassing, management episodes, patients were discharged with antibiotics, IntroductionPatients and methodsIn the A&E department of Watford General Hospital, the Long-term urinary catheters are most commonly used in two groups of patients: first, in spinally injured or records of patients who presented over a 6-month period with a blocked or by-passing long-term urinary catheter other neurologically impaired patients and second, in elderly patients, most commonly because of bladder were examined. Both urethral and suprapubic catheters were included in the study. All patients were managed outlet obstruction unrelieved by surgery, or for urinary incontinence [1]. Many of these patients experience by the staÂ of the A&E department alone, so that patients who were referred by their GPs to the on-call surgical problems with the management of their catheters [2]. The most common reasons for replacing such catheters teams were not included. Only patients not complaining of any symptoms that could be attributed to a urinary are leaking, obstruction, and accidental removal. The first two often arise as a consequence of catheter obstructract infection were included. However, patients complaining of recent abdominal pain that began after the tion [1], which may be a recurrent problem [2][3][4][5]. Although these problems are frequently managed by catheter was noted not to be draining urine were included, as these symptoms wer...

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Bacteriuria and Survival in Old Age

Cited by 180 publications

References 20 publications

Urinary Characteristcs and Infection in the Very Aged

Urinary Characteristcs and Infection in the Very Aged

Preoperative patient evaluation

Management of the long‐term urinary catheter in the asymptomatic patient in the Accident and Emergency department

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