Inappropriate use of urinary catheters is increased in the oldest old

Pérez-Abascal, N.; García-Cabrera, L.; Corchado, C. Miret; Monedero, M.E. Baeza; Mateos‐Nozal, Jesús; Cruz-Jentoft, A.J.

doi:10.1016/j.eurger.2013.07.102

Cited by 1 publication

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This indicates that in the case of recurrent UTI the investigations must aim not only to verify the diagnosis of that, but also to find any possible cause of recurrence and implement preventive measures aimed at potential risk factors of UTI [ 22 ]. They also include the avoidance of bladder catheterization, that is a common problem especially in hospitalized elderly patients and in the oldest old [ 23 , 24 ].…”

Section: Discussionmentioning

confidence: 99%

Urinary tract infections in a geriatric sub-acute ward-health correlates and atypical presentations

Wojszel

Toczyńska-Silkiewicz

2018

Eur Geriatr Med

View full text Add to dashboard Cite

PurposeBacterial urinary tract infections (UTIs) are the most frequently occurring infectious diseases in the geriatric population. The aim of the study was to determine the prevalence and clinical features of UTIs in geriatric in-patients and their association with health and functional ability characteristics.MethodsA prospective cross-sectional cohort study was conducted among patients hospitalized on the geriatric ward. Patients were interviewed, examined, and had their hospital records analyzed. An uncontaminated midstream urine sample was collected and cultured in all of the cases suspected for UTI. Relative risks for UTI were counted and multivariable logistic regression model was built.Results246 patients were included, 179 (72.8%) women, 210 (85.4%) 75 + -year-olds. Bacterial UTIs occurred in 18.3% of the patients. The main etiological agent was Escherichia coli (73.3%). The most significant predictors of UTI were recurrent UTI and urinary catheter. The typical clinical UTI symptoms occurred in less than half of the cases (only in 11.1% of cases fever was observed). More often, than in patients without UTIs, they reported symptoms such as delirium (28.9% vs. 18%), tachycardia (11.1% vs. 1.5%) or hypotension (20% vs. 12.1%).ConclusionsBacterial UTIs affect about 1/5 of hospitalized geriatric patients. The clinical picture of these infections very often is atypical and it indicates a need for diagnostic vigilance.

show abstract

Section: Discussionmentioning

confidence: 99%