#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Urinary tract infections in geriatric population


Authors: M. Fedorko;  D. Pacík
Published in: Geriatrie a Gerontologie 2015, 4, č. 4: 181-186
Category: Review Article

Overview

Urinary tract infections in elderly patients are common. Incidence of bacteriuria increases with age, however, asymptomatic bacteriuria present in the majority of cases does not require any treatment. Diagnosis of symptomatic urinary tract infection is challenging particularly in residents of long-term care facilities or nursing homes with significant proportion of disabled and catheterized patients with non-specific symptoms. This may result in unnecessary antibiotic treatment. The article presents an overview of terminology, diagnosis and treatment of urinary tract infections in elderly patients of both sexes. Treatment strategies and preventive measures follow the current guidelines of scientific societies.

Keywords:
asymptomatic bacteriuria – urinary tract infection – elderly


Sources

1. Curns AT, Holman RC, Sejvar JJ, et al. Infectious disease hospitalizations among older adults in the United States from 1990 through 2002. Arch Intern Med 2005; 165(21): 2514–2520.

2. Caterino JM, Weed SG, Espinola JA, et al. National trends in emergency department antibiotic prescribing for elders with urinary tract infection, 1996–2005. Acad Emerg Med 2009; 16(6): 500–507.

3. Tsan L, Langberg R, Davis C, et al. Nursing home-associated infections in Department of Veterans Affairs community living centers. Am J Infect Control 2010; 38(6): 461–466.

4. Marques LP, Flores JT, Barros Junior OeO, et al. Epidemiological and clinical aspects of urinary tract infection in community-dwelling elderly women. Braz J Infect Dis 2012; 16(5): 436–441.

5. Eriksson I, Gustafson Y, Fagerström L, et al. Prevalence and factors associated with urinary tract infections (UTIs) in very old women. Arch Gerontol Geriatr 2010; 50(2): 132–135.

6. Raz R. Urinary tract infections in postmenopausal women. In: Naber K, Schaeffer, AJ, Heyns C, eds. Urogenital Infections. Arnhem, The Netherlands: European Association of Urology 2010; 225–234.

7. Griebling TL. Urologic diseases in america project: trends in resource use for urinary tract infections in men. J Urol 2005; 173(4): 1288–1294.

8. Hooton TM. Recurrent urinary tract infection in women. Int J Antimicrob Agents 2001; 17(4): 259–268.

9. Moore EE, Hawes SE, Scholes D, et al. Sexual intercourse and risk of symptomatic urinary tract infection in post–menopausal women. J Gen Intern Med 2008; 23(5): 595–599.

10. Stamm WE, Raz R. Factors contributing to susceptibility of postmenopausal women to recurrent urinary tract infections. Clin Infect Dis 1999; 28(4): 723–725.

11. Wagenlehner FM, Weidner W, Pilatz A, et al. Urinary tract infections and bacterial prostatitis in men. Curr Opin Infect Dis 2014; 27(1): 97–101.

12. Townes CL, Ali A, Gross N, et al. Prostate specific antigen enhances the innate defence of prostatic epithelium against Escherichia coli infection. Prostate 2013; 73(14): 1529–1537.

13. Nicolle LE. Urinary tract infections in the elderly. Clin Geriatr Med 2009; 25(3): 423–436.

14. Mottet N, Bellmunt J, Briers E, et al. Guidelines on Prostate Cancer. European Association of Urology Guidelines. 2015 ed. Arnhem, The Netherlands: European Association of Urology 2015: 19–30.

15. Das R, Perrelli E, Towle V, et al. Antimicrobial susceptibility of bacteria isolated from urine samples obtained from nursing home residents. Infect Control Hosp Epidemiol 2009; 30(11): 1116–1119.

16. Grabe M, Bartoletti R, Bjerklund Johansen TE, et al. Guidelines on Urological Infections. European Association of Urology Guidelines 2015: ed. Arnhem, The Netherlands: European Association of Urology 2015: 1–85.

17. Nicolle LE. Asymptomatic bacteriuria in the elderly. Infect Dis Clin North Am 1997; 11(3): 647–662.

18. Hájková B. Infekce močových cest u seniorů. Čes Ger Rev 2008; 6(1): 14–18.

19. Cai T, Mazzoli S, Mondaini N, et al. The role of asymptomatic bacteriuria in young women with recurrent urinary tract infections: to treat or not to treat? Clin Infect Dis 2012; 55(6): 771–777.

20. High KP, Bradley SF, Gravenstein S, et al. Clinical practice guideline for the evaluation of fever and infection in older adult residents of long-term care facilities: 2008 update by the Infectious Diseases Society of America. Clin Infect Dis 2009; 48(2): 149–171.

21. Loeb M, Bentley DW, Bradley S, et al. Development of minimum criteria for the initiation of antibiotics in residents of long-term-care facilities: results of a consensus conference. Infect Control Hosp Epidemiol 2001; 22(2): 120–124.

22. Phillips CD, Adepoju O, Stone N, et al. Asymptomatic bacteriuria, antibiotic use, and suspected urinary tract infections in four nursing homes. BMC Geriatr 2012; 12: 73.

23. Knottnerus BJ, Geerlings SE, Moll van Charante EP, et al. Women with symptoms of uncomplicated urinary tract infection are often willing to delay antibiotic treatment: a prospective cohort study. BMC Fam Pract 2013; 14: 71.

24. Rowe TA, Juthani-Mehta M. Diagnosis and management of urinary tract infection in older adults. Infect Dis Clin North Am 2014; 28(1): 75–89.

25. Drekonja DM, Rector TS, Cutting A, et al. Urinary tract infection in male veterans: treatment patterns and outcomes. JAMA Intern Med 2013; 173(1): 62–68.

26. Warren JW. Catheter-associated urinary tract infections. Int J Antimicrob Agents 2001; 17(4): 299–303.

27. Maki DG, Tambyah PA. Engineering out the risk for infection with urinary catheters. Emerg Infect Dis 2001; 7(2): 342–347.

28. Tenke P, Kovacs B, Bjerklund Johansen TE, et al. European and Asian guidelines on management and prevention of catheter-associated urinary tract infections. Int J Antimicrob Agents 2008; 31 (Suppl 1): S68–78.

29. Yoon BI, Kim S, Han DS, et al. Acute bacterial prostatitis: how to prevent and manage chronic infection? J Infect Chemother 2012; 18(4): 444–450.

30. Raz R, Gennesin Y, Wasser J, et al. Recurrent urinary tract infections in postmenopausal women. Clin Infect Dis 2000; 30(1): 152–156.

31. Fedorko M. Možnosti léčby a profylaxe recidivujících infekcí dolních močových cest. Urol List 2013; 11(2): 33–37.

32. Eriksen B. A randomized, open, parallel-group study on the preventive effect of an estradiol-releasing vaginal ring (Estring) on recurrent urinary tract infections in postmenopausal women. Am J Obstet Gynecol 1999; 180(5): 1072–1079.

33. Jackson SL, Boyko EJ, Scholes D, et al. Predictors of urinary tract infection after menopause: a prospective study. Am J Med 2004; 117(12): 903–911.

34. McMurdo ME, Argo I, Phillips G, et al. Cranberry or trimethoprim for the prevention of recurrent urinary tract infections? A randomized controlled trial in older women. J Antimicrob Chemother 2009; 63(2): 389–395.

35. Bianco L, Perrelli E, Towle V, et al. Pilot randomized controlled dosing study of cranberry capsules for reduction of bacteriuria plus pyuria in female nursing home residents. J Am Geriatr Soc 2012 ;60(6): 1180–1181.

36. Rogers MA, Fries BE, Kaufman SR, et al. Mobility and other predictors of hospitalization for urinary tract infection: a retrospective cohort study. BMC Geriatr 2008; 8: 31.

Labels
Geriatrics General practitioner for adults Orthopaedic prosthetics
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#