Diagnosis and Management of Urinary Tract Infection in Older Adults

Rowe, Theresa; Juthani‐Mehta, Manisha

doi:10.1016/j.idc.2013.10.004

Cited by 238 publications

(211 citation statements)

References 53 publications

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“…According to the literature, the incidence of UTI increases with age in both men and women. From 85 years old on, the occurrence of UTI increases from approximately 0.05 to 0.08 people per year in men and from 0.07 to 0.13 people per year in women (21) . When it comes to gender, there was no significant difference either.…”

Section: Discussionmentioning

confidence: 99%

Urinary tract infection: a cohort of older people with urinary incontinence

et al. 2017

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83-23.19) and the incidence density was 3.6 cases/100 people-month of follow-up period. The variables Bacteriuria and Institution presented statistical association with the occurrence of urinary tract infection. Conclusion: It is observed that the incidence of urinary tract infection in the study was smaller than in other similar international and national studies, however this is an important world health problem for the older population, with impact on mortality of these individuals. Descriptors: Urinary Infections; Urinary Incontinence; Older people; Nursing; Long-term Care Institution for the Older Population.RESUMO Objetivo: Avaliar aspectos epidemiológicos da infecção do trato urinário em pacientes idosos com incontinência urinária, residentes em instituições de longa permanência, de Belo Horizonte. Método: Coorte concorrente realizada no período de 01 de abril a 01 de outubro de 2015. O estudo foi realizado em duas instituições de longa permanência, na cidade de Belo Horizonte, MG, com 84 idosos incontinentes. Resultados: A incidência acumulada de infecção do trato urinário foi de 19% (IC 95%: 7,83-23,19) e a densidade de incidência foi de 3,6 casos/100 pessoas-mês de seguimento. As variáveis Bacteriúria e Instituição apresentaram associação estatística com a ocorrência de infecção do trato urinário. Conclusão: Observa-se que a incidência de infecção do trato urinário no estudo foi menor que em outros estudos nacionais e internacionais semelhantes, no entanto trata-se de um importante problema de saúde mundial para os idosos, com impacto na mortalidade desses indivíduos. Descritores: Infecções Urinárias; Incontinência Urinária; Idoso; Enfermagem; Instituição de Longa Permanência para Idosos. RESUMENObjetivo: Analizar los aspectos epidemiológicos de infección del tracto urinario en ancianos con incontinencia urinaria, en residencias para ancianos de Belo Horizonte, Brasil. Método: Se realizó una cohorte del 1º de abril al 1º de octubre de 2015. Se realizó el estudio en dos residencias para ancianos de la ciudad de Belo Horizonte, del cual participaron 84 ancianos con incontinencia urinaria. Resultados: La incidencia acumulada de infección en el tracto urinario fue del 19% (IC 95%: 7,19) y la densidad de la incidencia fue de 3,6 casos/100 personas-mes por seguimiento. Las variables Bacteriuria y la residencia presentaron asociación estadística en la aparición de este tipo de infección. Conclusión: A pesar de que la incidencia 839Urinary tract infection: a cohort of older people with urinary incontinence Melo LS, et al.

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Section: Discussionmentioning

confidence: 99%

Urinary tract infection: a cohort of older people with urinary incontinence

et al. 2017

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“…[1][2][3] Findings of bacteriuria or pyuria alone are insufficient to diagnose urinary tract infection; clinical symptoms must also be present. …”

Section: The Prevalence Of Asymptomatic Bacteriuria and Pyuria Is Higmentioning

confidence: 99%

Urinary tract infection in older adults in long-term care facilities

Ajayi

Radhakrishnan

2016

CMAJ

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Clinical and laboratory assessment is needed to establish a diagnosis of urinary tract infectionThere are several approaches to diagnosing urinary tract infection in older adults, with certain common elements in diagnostic criteria. The accepted criteria are two clinical symptoms (from the following list: temperature > 38°C, urinary urgency or frequency, acute dysuria, hypogastric pain, costovertebral angle tenderness) and laboratory findings of bacteriuria (> 100 000 colony-forming units/mL) or pyuria (> 10 leukocytes/high-power field).

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“…Two other predictors remaining in the final stepwise model age >81 year, OR = 0.53 (CI = 0.33-0.84) and LOS > 11 days 2.61 (CI = 1.67-4.10). Younger older is more fit, and is less at risk for UTI [18]. To get an UTI in a hospital setting, may reduce the total health situation and prolong the LOS.…”

Section: Resultsmentioning

confidence: 99%