Urinary Tract Infection and Asymptomatic Bacteriuria in Older Adults.

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

DOI: 10.1016/J.IDC.2017.07.002

关键词:

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

参考文章(83)
Florian M E Wagenlehner, Kurt G Naber, Wolfgang Weidner, Asymptomatic bacteriuria in elderly patients: significance and implications for treatment. Drugs & Aging. ,vol. 22, pp. 801- 807 ,(2005) , 10.2165/00002512-200522100-00001
Deborah Horwitz, Tyler McCue, Abigail C. Mapes, Nadim J. Ajami, Joseph F. Petrosino, Robert F. Ramig, Barbara W. Trautner, Decreased microbiota diversity associated with urinary tract infection in a trial of bacterial interference. Journal of Infection. ,vol. 71, pp. 358- 367 ,(2015) , 10.1016/J.JINF.2015.05.014
J. Curtis Nickel, Alisa Stephens, J. Richard Landis, Chris Mullins, Adrie van Bokhoven, M. Scott Lucia, Garth D. Ehrlich, , Assessment of the Lower Urinary Tract Microbiota during Symptom Flare in Women with Urologic Chronic Pelvic Pain Syndrome: A MAPP Network Study The Journal of Urology. ,vol. 195, pp. 356- 362 ,(2016) , 10.1016/J.JURO.2015.09.075
Manisha Juthani-Mehta, Vincent Quagliarello, Eleanor Perrelli, Virginia Towle, Peter H. Van Ness, Mary Tinetti, Clinical Features to Identify Urinary Tract Infection in Nursing Home Residents: A Cohort Study Journal of the American Geriatrics Society. ,vol. 57, pp. 963- 970 ,(2009) , 10.1111/J.1532-5415.2009.02227.X
Myung Jin Lee, Moonsuk Kim, Nak-Hyun Kim, Chung-Jong Kim, Kyoung-Ho Song, Pyoeng Gyun Choe, Wan Beom Park, Ji Hwan Bang, Eu Suk Kim, Sang Won Park, Nam Joong Kim, Myoung-don Oh, Hong Bin Kim, Why is asymptomatic bacteriuria overtreated?: A tertiary care institutional survey of resident physicians BMC Infectious Diseases. ,vol. 15, pp. 289- 289 ,(2015) , 10.1186/S12879-015-1044-3
Michelle L. Ingalsbe, Amy L. Wojciechowski, Kelly A. Smith, Kari A. Mergenhagen, Effectiveness and safety of nitrofurantoin in outpatient male veterans Therapeutic Advances in Urology. ,vol. 7, pp. 186- 193 ,(2015) , 10.1177/1756287215581556
Fergus PM Cooper, Cameron Edwin Alexander, Sanjay Sinha, Muhammad Imran Omar, Policies for replacing long‐term indwelling urinary catheters in adults Cochrane Database of Systematic Reviews. ,vol. 7, pp. 1- 43 ,(2016) , 10.1002/14651858.CD011115.PUB2
Frederick L. Ruben, Stephen R. Dearwater, Carl W. Norden, Lewis H. Kuller, Kay Gartner, Ann Shalley, Gene Warshafsky, Sheryl F. Kelsey, Christine O'Donnell, Elaine Means, William Amoroso, Grant Bochicchio, Clinical Infections in the Noninstitutionalized Geriatric Age Group: Methods Utilized and Incidence of Infections The Pittsburgh Good Health Study American Journal of Epidemiology. ,vol. 141, pp. 145- 157 ,(1995) , 10.1093/OXFORDJOURNALS.AJE.A117402
Namisha Singh, Sonja Gandhi, Eric McArthur, Louise Moist, Arsh K. Jain, Aiden R. Liu, Manish M. Sood, Amit X. Garg, Kidney function and the use of nitrofurantoin to treat urinary tract infections in older women Canadian Medical Association Journal. ,vol. 187, pp. 648- 656 ,(2015) , 10.1503/CMAJ.150067
David D. Rahn, Cassandra Carberry, Tatiana V. Sanses, Mamta M. Mamik, Renée M. Ward, Kate V. Meriwether, Cedric K. Olivera, Husam Abed, Ethan M. Balk, Miles Murphy, Vaginal estrogen for genitourinary syndrome of menopause: a systematic review. Obstetrics & Gynecology. ,vol. 124, pp. 1147- 1156 ,(2014) , 10.1097/AOG.0000000000000526