Bacteriuria in Representative Population Samples of Persons Aged 72–79 Years

“…Several studies have shown that asymptomatic bacteriuria is common (\ 30%) in institutionalized patients. The treatment of this condition does not decrease mortality or morbidity due to other diseases and, moreover, there is a potential risk of an increase in the emergence of resistance (34)(35)(36)(37). This knowledge is probably not widespread, because as many as 60% of GPs chose to treat this patient based only on the history and 60% of these GPs prescribed the antibiotic over the telephone.…”

Section: Discussionmentioning

confidence: 99%

Differences in Antibiotic Prescribing Patterns Between General Practitioners in Scandinavia: A Questionnaire Study

Odenholt¹,

Bylander-Groth²,

Frimodt‐Møller³

et al. 2002

Scandinavian Journal of Infectious Diseases

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There has been a dramatic increase in the prevalence of antibiotic-resistant bacteria worldwide. In the Scandinavian countries at least 90% of total antibiotic use relates to outpatients and therefore it has become increasingly important to know the antibiotic prescription pattern of general practitioners (GPs) in order to implement and monitor changes in antibiotic prescribing. The aim of the present study was to evaluate the prescription patterns of GPs in Denmark, Norway and Sweden. In order to achieve a reasonable comparison, a questionnaire consisting of 7 case reports concerning upper and lower respiratory tract infections, urinary tract infections and skin and soft tissue infections was sent to 1,000 GPs in the 3 countries. In general, the guidelines for the treatment of bacterial infections in the individual countries were followed by the responders. In all 3 countries, penicillin V was still the drug most frequently used in upper and lower respiratory tract infections. The greatest difference in prescribing patterns among the countries was seen in the treatment of urinary tract infections, recurrent pharyngeal tonsillitis, acute otitis media and acute exacerbation of chronic bronchitis. There were also differences in the dosing regimens, length of treatment and use of diagnostic techniques.

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“…Nordestam et al studied a population of elderly patients and compared their longevity in relation to bacteriuria (LoE 1b) [13]. There was no increase in mortality related to bacteriuria for otherwise healthy individuals.…”

Section: Bacteriuria and Mortalitymentioning

confidence: 99%

Urinary Tract Infection in Postmenopausal Women

Raz

2011

Korean J Urol

110

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Urinary tract infection (UTI) is the most common bacterial infection in women in general and in postmenopausal women in particular. Two groups of elderly women with recurrent UTI should be differentiated regarding age and general status: healthy, young postmenopausal women aged 50 to 70 years who are neither institutionalized or catheterized and elderly institutionalized women with or without a catheter. Bacteriuria occurs more often in elderly functionally impaired women, but in general it is asymptomatic. However, the risk factors associated with recurrent UTI in elderly women are not widely described. In a multivariate analysis it was found that urinary incontinence, a history of UTI before menopause, and nonsecretor status were strongly associated with recurrent UTI in young postmenopausal women. Another study described the incidence and risk factors of acute cystitis among nondiabetic and diabetic postmenopausal women. Independent predictors of infection included insulin-treated patients and a lifetime history of urinary infection. Borderline associations included a history of vaginal estrogen cream use in the past month, kidney stones, and asymptomatic bacteriuria at baseline. Another important factor in postmenopausal women is the potential role that estrogen deficiency plays in the development of bacteriuria. There are at least two studies showing a beneficial effect of estrogen in the management of recurrent bacteriuria in elderly women. One of these studies showed that vaginal estrogen cream reduced vaginal pH from 5.5±0.7 to 3.6±1.0, restored lactobacillus, and decreased new episodes of UTI. Another study reported similar results using an estriol vaginal ring. However, contradictory results are found in the literature. For example, additional studies found that the use of estriol-containing vaginal pessaries was less effective than oral nitrofurantoin macrocrystals in preventing UTI in postmenopausal women. Two other studies also did not find any benefit in the reduction of UTI by oral estrogen therapy. Unfortunately, the use of estrogen in preventing UTI in postmenopausal women remains questionable. New strategies have been researched for reducing the use of antibiotics in the prevention and treatment of UTI. Two of them are probiotics and cranberry juice or capsules. Although several studies regarding probiotics and cranberry juice or capsules have reported a reduction of episodes of UTI, there is no conclusive evidence that they are useful in the prevention of UTI in postmenopausal women. As for the optimal drug, dosage, and length of treatment for UTI in the elderly, there are no studies comparing these data with the treatment for young women.

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Bacteriuria in Representative Population Samples of Persons Aged 72–79 Years

Cited by 33 publications

References 0 publications

Bacteriuria is associated with urge urinary incontinence in older women

Bacteriuria is associated with urge urinary incontinence in older women

Differences in Antibiotic Prescribing Patterns Between General Practitioners in Scandinavia: A Questionnaire Study

Urinary Tract Infection in Postmenopausal Women

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