Urinary infection in the elderly

Autor: M. Belhassen García, J. Pardo Lledías, M Garcia Bravo, O. Cores Calvo, E Álvarez Artero, A. Campo Nuñez
Rok vydání: 2019
Předmět:
Zdroj: Revista Clínica Española (English Edition). 219:189-193
ISSN: 2254-8874
DOI: 10.1016/j.rceng.2018.10.014
Popis: Introduction Urinary tract infections (UTIs) are one of the most frequent infections. In the elderly, they have multiple comorbidities. The objective of this work is to describe the clinical and microbiological epidemiology of elderly persons admitted for UTIs and to evaluate the suitability of empirical treatments and their implications regarding mortality. Material and methods An observational study was conducted during 2013–2015 in 4 public hospitals, with patients older than 65 years who were admitted to the Internal Medicine service with a microbiological diagnosis of UTI. Cases of asymptomatic bacteriuria were excluded. In-hospital mortality was analyzed. Univariate analysis and multivariate analysis was carried out. Results A total of 349 episodes were selected, with a mean age of 82 ± 11 years, 51% female. Mortality was 10.3% and was associated with age, dementia and sepsis and septic shock (p Conclusions In the elderly, UTIs show a high mortality. Empirical treatment is often inadequate and may be associated with increased mortality.
Databáze: OpenAIRE
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