Urinary Tract Infection and Asymptomatic Bacteriuria in Older Adults

Nicolas W. Cortes-Penfield; Barbara W. Trautner; Robin L.P. Jump

doi:10.1016/j.idc.2017.07.002

Urinary Tract Infection and Asymptomatic Bacteriuria in Older Adults

Nicolas W. Cortes-Penfield, Barbara W. Trautner, Robin L.P. Jump

Research output: Contribution to journal › Review article › peer-review

101 Scopus citations

Abstract

Urinary tract infections (UTIs) are a significant cause of morbidity among older adults. However, antibiotic prescriptions for clinically suspected UTIs are often inappropriate. Health care providers frequently struggle to differentiate UTI from asymptomatic bacteriuria, particularly in patients presenting with nonspecific symptoms. Patients with baseline cognitive impairments that limit history-taking can be particularly challenging. This article reviews the epidemiology and pathogenesis of UTI in older adults. It discusses an approach to diagnosis and treatment focused on recognizing patients who would likely benefit from antibiotic treatment and on identifying patients for whom empiric antibiotic therapy should not be given.

Original language	English (US)
Pages (from-to)	673-688
Number of pages	16
Journal	Infectious disease clinics of North America
Volume	31
Issue number	4
DOIs	https://doi.org/10.1016/j.idc.2017.07.002
State	Published - Dec 2017
Externally published	Yes

Keywords

Asymptomatic bacteriuria
Older adults
Urinary tract infection

ASJC Scopus subject areas

Microbiology (medical)
Infectious Diseases

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10.1016/j.idc.2017.07.002

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title = "Urinary Tract Infection and Asymptomatic Bacteriuria in Older Adults",

abstract = "Urinary tract infections (UTIs) are a significant cause of morbidity among older adults. However, antibiotic prescriptions for clinically suspected UTIs are often inappropriate. Health care providers frequently struggle to differentiate UTI from asymptomatic bacteriuria, particularly in patients presenting with nonspecific symptoms. Patients with baseline cognitive impairments that limit history-taking can be particularly challenging. This article reviews the epidemiology and pathogenesis of UTI in older adults. It discusses an approach to diagnosis and treatment focused on recognizing patients who would likely benefit from antibiotic treatment and on identifying patients for whom empiric antibiotic therapy should not be given.",

keywords = "Asymptomatic bacteriuria, Older adults, Urinary tract infection",

author = "Cortes-Penfield, {Nicolas W.} and Trautner, {Barbara W.} and Jump, {Robin L.P.}",

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AU - Cortes-Penfield, Nicolas W.

AU - Trautner, Barbara W.

AU - Jump, Robin L.P.

PY - 2017/12

Y1 - 2017/12

N2 - Urinary tract infections (UTIs) are a significant cause of morbidity among older adults. However, antibiotic prescriptions for clinically suspected UTIs are often inappropriate. Health care providers frequently struggle to differentiate UTI from asymptomatic bacteriuria, particularly in patients presenting with nonspecific symptoms. Patients with baseline cognitive impairments that limit history-taking can be particularly challenging. This article reviews the epidemiology and pathogenesis of UTI in older adults. It discusses an approach to diagnosis and treatment focused on recognizing patients who would likely benefit from antibiotic treatment and on identifying patients for whom empiric antibiotic therapy should not be given.

AB - Urinary tract infections (UTIs) are a significant cause of morbidity among older adults. However, antibiotic prescriptions for clinically suspected UTIs are often inappropriate. Health care providers frequently struggle to differentiate UTI from asymptomatic bacteriuria, particularly in patients presenting with nonspecific symptoms. Patients with baseline cognitive impairments that limit history-taking can be particularly challenging. This article reviews the epidemiology and pathogenesis of UTI in older adults. It discusses an approach to diagnosis and treatment focused on recognizing patients who would likely benefit from antibiotic treatment and on identifying patients for whom empiric antibiotic therapy should not be given.

KW - Asymptomatic bacteriuria

KW - Older adults

KW - Urinary tract infection

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JO - Infectious disease clinics of North America

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ER -

Urinary Tract Infection and Asymptomatic Bacteriuria in Older Adults

Abstract

Keywords

ASJC Scopus subject areas

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