Prevalence and factors associated with urinary tract infections (UTIs) in very old women

Eriksson, Iréne; Gustafson, Yngve; Fagerström, Lisbeth; Olofsson, Birgitta

doi:10.1016/j.archger.2009.02.013

Cited by 71 publications

(67 citation statements)

References 25 publications

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“…Disorders such as dementia, Parkinson’s disease, and stroke often lead to voiding abnormalities, impede adequate self-hygiene, and increase the need for urinary catheterization. In a study by Eriksson and colleagues, 13 having a history of UTI within the previous year was significantly associated with vertebral fractures, multi-infarct dementia, and stroke. Many of these impairments have also been shown to increase the risk of persistent bacteriuria in older adults.…”

Section: Risk Factorsmentioning

confidence: 96%

“…12 Another cohort study in women older than 85 found almost 30% of women to have reported at least 1 UTI within a 12-month period. 13 In men, the annual incidence of UTI ranges from 0.05 in men aged 65 to 74 years and is estimated to increase to 0.08 in men aged 85 and older. 14 Although UTI is one of the most commonly reported infections in older adults, definitions for symptomatic UTI vary significantly across the literature, making the reported incidence and prevalence of symptomatic UTI in this population variable.…”

Section: Epidemiology Of Urinary Tract Infectionmentioning

confidence: 99%

See 1 more Smart Citation

Diagnosis and Management of Urinary Tract Infection in Older Adults

Rowe

Juthani‐Mehta

2014

Infectious Disease Clinics of North America

238

174

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Section: Risk Factorsmentioning

confidence: 96%

Section: Epidemiology Of Urinary Tract Infectionmentioning

confidence: 99%

Diagnosis and Management of Urinary Tract Infection in Older Adults

Rowe

Juthani‐Mehta

2014

Infectious Disease Clinics of North America

238

174

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“…In women after the age of 85, one-third were diagnosed with UTI within a 1-year period and twothirds in a 5-year period. Specific risk factors in this group of patients were vertebral fractures [odds ratio (OR): 3.2, confidence interval (CI): 1.4-7.1], incontinence (OR: 2.8, CI: 1.8-4.5), rheumatic disease (OR: 2.8, CI: 1.5-5.7) and multiinfarct dementia (OR: 2.4, CI: 1.3-4.5) [9].…”

Section: Community-associated Urinary Tract Infection Prevalencementioning

confidence: 99%

Global epidemiology of urinary tract infections

Tandoğdu

Wagenlehner

2016

Current Opinion in Infectious Diseases

323

214

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“…(1,2) Urinary tract infections account for almost 25% of all infections in the elderly, particularly those in long term care facilities, (3) while delirium is prevalent in up to 30% of elderly patients, with estimates being much higher postoperatively and in settings such as intensive care units. (4,5) While delirium has multiple etiologies, it is widely viewed as one of the atypical symptoms of UTI in the elderly, (6,7) and some physicians believe that the relationship between delirium and UTI is one of causation. (8,9) They therefore initiate workup for urinary tract infection (UTI) whenever delirium occurs in a patient.…”

Section: Introductionmentioning

confidence: 99%

Delirium, A Symptom of UTI in the Elderly: Fact or Fable? A Systematic Review

Balogun

Philbrick

2013

Journal of the American Medical Directors Association

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BackgroundIn geriatrics, delirium is widely viewed as a consequence of and, therefore, a reason to initiate workup for urinary tract infection (UTI). There is a possibility that this association is overestimated. To determine the evidence behind this clinical practice, we undertook a systematic review of the literature linking delirium with UTI. MethodsA MEDLINE search was conducted from 1966 through 2012 using the MESH terms "urinary tract infection" and "delirium", limited to humans, age 65 and older. The search identified 111 studies. Of these, five met our inclusion criteria of being primary studies that addressed the association of UTI and delirium. The studies were four cross-sectional observational studies and one case series. No randomized control trials were identified. All studies were published between 1988 and 2011. Four collected data retrospectively and one prospectively, with study sizes ranging from 14 to 1,285. The methodological strength of the studies was evaluated using six standards adapted from a previous systematic review. ResultsOnly two of the five studies adequately matched or statistically adjusted for differences in comparison groups. None of the studies evaluated subjects with equal intensity for the presence of delirium and UTI, nor did they have objective criteria for either diagnosis. In subjects with delirium, UTI rates ranged from 25.9% to 32% compared to 13% in those without delirium. In subjects with UTI, delirium rates ranged from 30% to 35%, compared to 7.7% to 8% in those without UTI. ConclusionsFew studies have examined the association between UTI and delirium. Though the studies examined conclude that there is an association between UTI and delirium, all of them had significant methodological flaws that likely led to biased results. Therefore, it is difficult to ascertain the degree to which urinary tract infections cause delirium. More research is needed to better define the role of UTI in delirium etiology.

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Prevalence and factors associated with urinary tract infections (UTIs) in very old women

Cited by 71 publications

References 25 publications

Diagnosis and Management of Urinary Tract Infection in Older Adults

Diagnosis and Management of Urinary Tract Infection in Older Adults

Global epidemiology of urinary tract infections

Delirium, A Symptom of UTI in the Elderly: Fact or Fable? A Systematic Review

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