Management of Complicated Urinary Tract Infection in Older Patients

Abstract

Urinary tract infection (UTI) in older persons is a common medical problem that is seen in both the ambulatory and institutional settings. It affects older women and men with a gender prevalence ratio of 2:1, respectively. UTI in older persons can be a complex problem in terms of the approach to diagnosis, treatment, and prevention. In this report the discussion will begin with the unique aspects of UTI in older persons, particularly as they relate to UTI in the younger, general population. The remaining discussion will then focus on three complicated clinical circumstances and conditions of UTI in the geriatric population: non-catheter recurrent UTI, asymptomatic bacteriuria, and catheter-related bacteriuria and UTI.

Catheter associated urinary tract infection: Aetiologic agents and antimicrobial susceptibility pattern in Ladoke Akintola University Teaching Hospital, Osogbo, Nigeria

“…The infection was monomicrobial in 85% of patients and more than one isolate was recovered in about 15%. Although catheter associated UTI is frequently polymicrobial (Oni et al, 2003;Yoshikova et al, 1996), this was not the case in our study.…”

Asymptomatic Bacteriuria and Urinary Tract Infection in Older Adults

“…In older institutionalized adults, multiple comorbid illnesses may present with symptoms similar to UTI, and older adults who have cognitive impairment may not be able to report their symptoms [20]. Laboratory confirmation of UTI with significant bacteriuria (R10 5 cfu/mL on urine culture) and pyuria (O10 white blood cells on urinalysis) is an agreed-on minimum necessary but not sufficient criterion for diagnosis of UTI in this population [21].…”

The Aging Kidney: A Review – Part II

“…It is found in 17-55% of women in nursing homes/extended care facilities and in 17-35% of men. In hospitalized women and men it is found in 32-50% and 30-33%, respectively [54][55][56][57][58][59][60][61][62][63].…”