Optimal management of urinary tract infections in older people

Louise A Beveridge1, Peter G Davey2, Gabby Phillips3, Marion ET McMurdo11Ageing and Health, Division of Medical Sciences, Ninewells Hospital and Medical School, 2Health Informatics Centre, University of Dundee, 3Medical Microbiology Department, NHS TaysideAbstract: Urinary tract infections (UTI) occ...

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Autores principales:	Beveridge L, Davey PG, Phillips G, McMurdo MET
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2011
Materias:	urinary tract infection elderly review Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/5b11ad8a97014cf4bb4947817d9ba901
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spelling	oai:doaj.org-article:5b11ad8a97014cf4bb4947817d9ba9012021-12-02T01:51:33ZOptimal management of urinary tract infections in older people1178-1998https://doaj.org/article/5b11ad8a97014cf4bb4947817d9ba9012011-06-01T00:00:00Zhttps://www.dovepress.com/optimal-management-of-urinary-tract-infections-in-older-people-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Louise A Beveridge1, Peter G Davey2, Gabby Phillips3, Marion ET McMurdo11Ageing and Health, Division of Medical Sciences, Ninewells Hospital and Medical School, 2Health Informatics Centre, University of Dundee, 3Medical Microbiology Department, NHS TaysideAbstract: Urinary tract infections (UTI) occur frequently in older people. Unfortunately, UTI is commonly overdiagnosed and overtreated on the basis of nonspecific clinical signs and symptoms. The diagnosis of a UTI in the older patient requires the presence of new urinary symptoms, with or without systemic symptoms. Urinalysis is commonly used to diagnose infection in this population, however, the evidence for its use is limited. There is overwhelming evidence that asymptomatic bacteriuria should not be treated. Catheter associated urinary tract infection accounts for a significant amount of hospital-associated infection. Indwelling urinary catheters should be avoided where possible and alternatives sought. The use of narrow spectrum antimicrobial agents for urinary tract infection is advocated. Local guidelines are now widely used to reflect local resistance patterns and available agents. Guidelines need to be updated to reflect changes in antimicrobial prescribing and a move from broad to narrow spectrum antimicrobials.Keywords: urinary tract infection, elderly, reviewBeveridge LDavey PGPhillips GMcMurdo METDove Medical Pressarticleurinary tract infectionelderlyreviewGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 6, Pp 173-180 (2011)
institution	DOAJ
collection	DOAJ
language	EN
topic	urinary tract infection elderly review Geriatrics RC952-954.6
spellingShingle	urinary tract infection elderly review Geriatrics RC952-954.6 Beveridge L Davey PG Phillips G McMurdo MET Optimal management of urinary tract infections in older people
description	Louise A Beveridge1, Peter G Davey2, Gabby Phillips3, Marion ET McMurdo11Ageing and Health, Division of Medical Sciences, Ninewells Hospital and Medical School, 2Health Informatics Centre, University of Dundee, 3Medical Microbiology Department, NHS TaysideAbstract: Urinary tract infections (UTI) occur frequently in older people. Unfortunately, UTI is commonly overdiagnosed and overtreated on the basis of nonspecific clinical signs and symptoms. The diagnosis of a UTI in the older patient requires the presence of new urinary symptoms, with or without systemic symptoms. Urinalysis is commonly used to diagnose infection in this population, however, the evidence for its use is limited. There is overwhelming evidence that asymptomatic bacteriuria should not be treated. Catheter associated urinary tract infection accounts for a significant amount of hospital-associated infection. Indwelling urinary catheters should be avoided where possible and alternatives sought. The use of narrow spectrum antimicrobial agents for urinary tract infection is advocated. Local guidelines are now widely used to reflect local resistance patterns and available agents. Guidelines need to be updated to reflect changes in antimicrobial prescribing and a move from broad to narrow spectrum antimicrobials.Keywords: urinary tract infection, elderly, review
format	article
author	Beveridge L Davey PG Phillips G McMurdo MET
author_facet	Beveridge L Davey PG Phillips G McMurdo MET
author_sort	Beveridge L
title	Optimal management of urinary tract infections in older people
title_short	Optimal management of urinary tract infections in older people
title_full	Optimal management of urinary tract infections in older people
title_fullStr	Optimal management of urinary tract infections in older people
title_full_unstemmed	Optimal management of urinary tract infections in older people
title_sort	optimal management of urinary tract infections in older people
publisher	Dove Medical Press
publishDate	2011
url	https://doaj.org/article/5b11ad8a97014cf4bb4947817d9ba901
work_keys_str_mv	AT beveridgel optimalmanagementofurinarytractinfectionsinolderpeople AT daveypg optimalmanagementofurinarytractinfectionsinolderpeople AT phillipsg optimalmanagementofurinarytractinfectionsinolderpeople AT mcmurdomet optimalmanagementofurinarytractinfectionsinolderpeople
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Optimal management of urinary tract infections in older people

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