Urinary tract infection in older adults

Theresa A. Rowe, Manisha Juthani-Mehta*

*Corresponding author for this work

Research output: Contribution to journalReview article

70 Scopus citations

Abstract

Urinary tract infection and asymptomatic bacteriuria are common in older adults. Unlike in younger adults, distinguishing symptomatic urinary tract infection from asymptomatic bacteriuria is problematic, as older adults, particularly those living in long-term care facilities, are less likely to present with localized genitourinary symptoms. Consensus guidelines have been published to assist clinicians with diagnosis and treatment of urinary tract infection; however, a single evidence-based approach to diagnosis of urinary tract infection does not exist. In the absence of a gold-standard definition of urinary tract infection that clinicians agree upon, overtreatment with antibiotics for suspected urinary tract infection remains a significant problem, and leads to a variety of negative consequences including the development of multidrug-resistant organisms. Future studies improving the diagnostic accuracy of urinary tract infections are needed. This review will cover the prevalence, diagnosis and diagnostic challenges, management, and prevention of urinary tract infection and asymptomatic bacteriuria in older adults.

Original languageEnglish (US)
Pages (from-to)519-528
Number of pages10
JournalAging Health
Volume9
Issue number5
DOIs
StatePublished - Oct 1 2013

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Keywords

  • aging
  • asymptomatic bacteriuria
  • elderly
  • urinary tract infection

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Medicine(all)

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