Meeting the challenge of geriatric UTIs

Urinary tract infections (UTIs) are common, and the geriatric population, because of multiple risk factors, is particularly susceptible. The diagnosis may be difficult and requires consideration in the appropriate clinical settings. Many antimicrobial agents provide effective initial therapy for UTIs. Recurrence is a problem that mandates urine culture and antibiotic sensitivity studies; urologic evaluation may also be necessary. The patient with a chronic indwelling bladder catheter and bacteriuria presents a unique challenge to the practicing physician.