The Prevalence and Symptomatology of Urinary Infection in an Aged Population

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.

Section: Discussionmentioning

confidence: 69%

Section: Discussionmentioning

confidence: 89%

See 1 more Smart Citation

Urinary Characteristcs and Infection in the Very Aged

Heinämäki¹,

Haavisto²,

Mattila³

et al. 1984

“…The prevalence of occasional urinary in continence has been found to vary from 5 to 49% among females 65 or over and from 6 to 17 % among males 65 or over [Brocklehurst et al, 1968;Olin, 1971;Feneley et al, 1979;Thomas zt al., 1980;Vetter et al, 1981;Yarnell et al, 1982]. The prevalence figures of regular incontinence vary between 2 and 7% for females 65 or over and between 2 and 5% for males 65 or over [Sourander, 1966;Milne et al, 1972;Akhlar et al, 1973;Vetter et al, 1981], It is widely suggested that the prevalence of incontinence tends to increase with age in the elderly population [ Yarnell and St. Leger, 1979;Thomas et al, 1980;Vetter et al, 1981], although some reports have reached differing conclusions [Brocklehurst et al, 1968;Milne et al, 1972], Among the very aged, urinary inconti nence has been reported by some workers to be more common among females [ Thomas et al, 1980;Vetter et al, 1981], while others do not lend support to these conclusions [Yar nell and St. Leger, 1979] (table I).…”

mentioning

confidence: 99%

Urinary Incontinence and Its Correlates in Very Old Age

Vehkalahti¹,

Kivelä²

1985

The study describes the prevalence of urinary incontinence and factors associated with incontinence among the population of Tampere aged 84/85 years (n = 320). 18% of the males were occasionally incontinent and 21% were daily incontinent. The corresponding figures for females were 20 and 21%, respectively. Incontinence was not associated with sex, living alone, parity, or outdoor toilet facilities. On the other hand, incontinence was found to be related to use of home nursing, home help or day hospital services, living in institutions, limitations in mobility, and the use of diuretics.

“…Significant bacteriuria is common in the elderly, showing a prevalence of 20% in the general population aged 65 years and over (on a single MS culture) (1,2), and 34% among geriatric long stay patients (a single culture confirmed by a suprapubic stab or catheter specimen) (3). Among the latter it is a fluctu ating condition associated with faecal soiling, with the disease of dementia and with a degree of residual urine, possibly because of the neuro pathic bladder resulting from cerebral cortical disease (3) and also with vaginal decensus (4).…”

mentioning

confidence: 99%

Bacteriuria and Its Correlates in Old Age

Carty¹,

Brocklehurst²,

Carty³

1981

Self Cite

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.