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[Urinary tract infections in the elderly]
Klaus Friedrich Becher1, Ingo Klempien2, Andreas Wiedemann3
1Abteilung Geriatrie und Frührehabilitation, HELIOS Hanseklinikum Stralsund, Große Parower Straße 47-54, 18437, Stralsund, Deutschland. klaus.becher@helios-kliniken.de.
Zeitschrift Fur Gerontologie Und Geriatrie
|August 31, 2015
Summary
Urinary tract infections (UTIs) in the elderly often recur and resist antibiotics. An anticipating strategy, classifying infections and knowing local resistance patterns, is crucial for effective, rapid recovery.
Area of Science:
- Geriatric Medicine
- Infectious Diseases
- Bacteriology
Context:
- Acute urinary tract infections (UTIs) are common in the frail elderly.
- These infections cause significant morbidity and recurrent episodes, often with antibiotic resistance.
- UTIs in the elderly can be complex, leading to incomplete resolution and frequent recurrence.
Purpose:
- To highlight the need for an anticipating therapeutic strategy for UTIs in the elderly.
- To emphasize the importance of classifying UTIs (asymptomatic bacteriuria vs. complicated pyelonephritis) for treatment decisions.
- To underscore the necessity of understanding uropathogen prevalence and local resistance patterns for empiric antibiotic selection.
Summary:
- Effective management of UTIs in the elderly requires a strategic approach.
- Classification of infection type guides diagnostic and treatment intensity.
- Knowledge of local uropathogen resistance patterns is vital for selecting appropriate empiric antibiotic therapy.
Impact:
- Facilitates more rapid recovery from UTIs in elderly patients.
- Aims to reduce morbidity and the incidence of recurrent, antibiotic-resistant infections.
- Enables cost-effective treatment of most UTIs in this vulnerable population.
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