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Urinary tract infection.

S G Mulholland1

  • 1Department of Urology, Thomas Jefferson University Medical School, Philadelphia, Pennsylvania.

Clinics in Geriatric Medicine
|February 1, 1990
PubMed
Summary
This summary is machine-generated.

Bacteriuria incidence rises with age, complicating diagnosis in older adults. Prompt UTI treatment is recommended, with advanced imaging for specific conditions like perinephric abscess.

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Area of Science:

  • Geriatrics
  • Infectious Diseases
  • Urology

Background:

  • Bacteriuria incidence increases with age in both men and women.
  • The relevance of bacteriuria in older adults is often unclear due to its association with geriatric disorders and lack of specific symptoms.
  • A direct link between bacteriuria and increased morbidity/mortality is generally debatable, except in select patient populations.

Purpose of the Study:

  • To clarify the diagnostic and management approach for bacteriuria and related conditions in the geriatric population.
  • To highlight the increasing incidence and improved diagnostic/treatment modalities for perinephric abscess in older individuals.

Main Methods:

  • Review of current literature and clinical practice regarding bacteriuria and UTIs in the elderly.

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  • Discussion of diagnostic challenges and appropriate antimicrobial selection for symptomatic infections.
  • Emphasis on advanced diagnostic techniques and minimally invasive percutaneous procedures for perinephric abscess.

    • Main Results:

    • Bacteriuria is common in the elderly but its clinical significance is often difficult to ascertain without symptoms.
    • Urinary tract infections (UTIs) in older patients should be managed similarly to younger patients, with careful antibiotic choice.
    • Perinephric abscess, though uncommon, is increasingly diagnosed in older patients, particularly females, with improved accuracy using new techniques.
    • Percutaneous procedures offer a less invasive and successful alternative to open surgery for perinephric abscesses.

    Conclusions:

    • Symptomatic UTIs in the elderly warrant prompt treatment with judicious antimicrobial selection.
    • Further investigation for bacteriuria is typically reserved for specific clinical scenarios.
    • Advances in diagnosis and treatment, including percutaneous interventions, have significantly improved outcomes and reduced mortality for conditions like perinephric abscess in older adults.