Management of urinary tract infections in the elderly
| Autor: | Thierry Pepersack, A N Mergam, Ingo Beyer, Caroline Theunissen, Florence Benoit |
|---|---|
| Přispěvatelé: | Gerontologie, Fragiliteit binnen Gerontologie en Geriatrie |
| Jazyk: | němčina |
| Rok vydání: | 2001 |
| Předmět: |
Male
medicine.medical_specialty Health (social science) Bacteriuria Urinary system Anti-Infective Agents Urinary Microbial Sensitivity Tests Urine urologic and male genital diseases elderly Risk Factors Diabetes mellitus Internal medicine medicine Humans Debility Escherichia coli Infections Aged Aged 80 and over Urinary tract infection business.industry Mortality rate medicine.disease female genital diseases and pregnancy complications Surgery Issues ethics and legal aspects Upper tract Bacteremia Urinary Tract Infections Female Geriatrics and Gerontology business Gerontology |
| Popis: | Urinary tract infection (UTI) is the most common infection and the first cause of bacteremia in the elderly. With increasing age the female to male ratio decreases and UTI becomes almost half as frequent in men compared to women. Significant bacteriuria exists in about 40% of institutionalized women. But asymptomatic bacteriuria is neither the cause of morbidity nor associated with a higher mortality rate and thus should not be treated. Symptomatic infection in women without complicating factors is most often caused by E. coli and may be treated with 3 or 7 day regimens of trimethoprim-sulfamethoxazole or fluoroquinolones (FQ). In the presence of symptoms of upper tract infection or complicating factors, urine culture is mandatory and will detect multiple and/or resistant microorganisms in most cases. Empirical treatment has to be adapted according to the sensitivity once established and should be administered for at least 10 days. Most of the patients above 65 and virtually all patients above 80 present either with general debility or diabetes or other factors such as bladder outflow obstruction or abnormal bladder function and have to be considered as presenting with complicated UTI. Indwelling catheters should be removed if possible, otherwise be changed. |
| Databáze: | OpenAIRE |
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