Prospective randomized comparison of therapy and no therapy for asymptomatic bacteriuria in institutionalized elderly women

Nicolle, LE; Wj, Mayhew; Bryan, L. E.

doi:10.1016/0002-9343(87)90493-1

Cited by 282 publications

(111 citation statements)

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“…11,12 Treatment of asymptomatic bacteriuria in the elderly does not reduce mortality in men 13 or women, 14 just as treatment of asymptomatic bacteriuria did not affect mortality in our study.…”

Section: Discussionmentioning

confidence: 38%

The effect of current management on morbidity and mortality in hospitalised adults with funguria

Simpson¹,

Blitz²,

Shafran³

2004

Journal of Infection

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Section: Discussionmentioning

confidence: 38%

The effect of current management on morbidity and mortality in hospitalised adults with funguria

Simpson¹,

Blitz²,

Shafran³

2004

Journal of Infection

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“…Although a 3-day course of antibiotic therapy is shown to decrease the prevalence of bacteriuria at 6 months [10], no benefits in morbidity, mortality, and chronic urinary incontinence are demonstrated to date. The randomized trials leading to these recommendations are summarized in Table 1 [11][12][13][14]. Screening for and treatment of ASB in older persons is recommended only in the following two circumstances: (1) before transurethral resection of the prostate and (2) before urologic procedures in which mucosal bleeding is anticipated [2].…”

Section: Management Of Asymptomatic Bacteriuriamentioning

confidence: 99%

Asymptomatic Bacteriuria and Urinary Tract Infection in Older Adults

Juthani‐Mehta

2007

Clinics in Geriatric Medicine

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“…In particular, treatment with antimicrobials does not decrease the prevalence of bacteriuria and frequency of acute symptomatic episodes [16]. However, attempts to treat asymptomatic bacteriuria lead to adverse effects from antimicrobial therapy, increased antimicrobials, and increased costs [17]. Thus, most experts agree that asymptomatic bacteriuria should not be treated.…”

Section: Utis In Long-term Care Facilitiesmentioning

confidence: 99%

Urinary tract infections in the elderly

Matsumoto

2001

Curr Urol Rep

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The elderly population is now increasing in the world. A higher incidence of bacteriuria and urinary tract infection (UTI) is observed in elderly patients, in both long-term care facilities and at home. The management of elderly patients with UTI is increasing in clinical significance. Almost all of UTI in the elderly is complicated UTI. Control of the underlying diseases in the urinary tract is quite important in the management of UTIs in elderly patients. For pyelonephritis, switch therapy using aminoglycosides and fluoroquinolones, carbapenems, third-generation cephalosporines, or penicillins are selections of choice. The recommended duration of treatment for patients with pyelonephritis is 14 days. Seven to 10 days of treatment using fluoroquinolones or trimethoprim-sulfamethoxazole is recommended for the treatment of elderly patients with symptomatic cystitis. Although asymptomatic bacteriuria is quite common in the elderly population, antibiotic treatment has no benefit for such patients. Intravaginal estrogen replacement is one of choice for the prevention of recurrent UTIs in postmenopausal women.

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Prospective randomized comparison of therapy and no therapy for asymptomatic bacteriuria in institutionalized elderly women

Cited by 282 publications

References 0 publications

The effect of current management on morbidity and mortality in hospitalised adults with funguria

The effect of current management on morbidity and mortality in hospitalised adults with funguria

Asymptomatic Bacteriuria and Urinary Tract Infection in Older Adults

Urinary tract infections in the elderly

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