Urinary infection management in frail or comorbid older individuals
Urinary infection management in frail or comorbid older individuals
Urinary tract infection (UTI) is common among older individuals, especially those with frailty and comorbidity. Asymptomatic bacteriuria is also common in this group and does not require treatment. UTI diagnosis is complicated by atypical signs and symptoms such as confusion or functional decline. This necessitates a more holistic assessment according to a diagnostic algorithm that includes nonspecific symptoms to avoid overdiagnosis or underdiagnosis. Treatment strategies for UTI in older people generally align with those for younger people, with some exceptions. Prophylaxis is similar to that for postmenopausal women. However, it is crucial to carefully consider comorbidities, polypharmacy, and the risk of potential adverse events.
Antimicrobial resistanceComorbidityGeriatricGuidelinesPolypharmacyUrinary tract infections, Polypharmacy, Comorbidity, Geriatric, Urinary tract infections, Antimicrobial resistance, Guidelines
Bausch, Kathrin
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Stangl, Fabian P.
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Prieto, Jacqui
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Bonkat, Gernot
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Kranz, Jennifer
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Bausch, Kathrin
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Stangl, Fabian P.
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Prieto, Jacqui
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Bonkat, Gernot
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Kranz, Jennifer
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Bausch, Kathrin, Stangl, Fabian P., Prieto, Jacqui, Bonkat, Gernot and Kranz, Jennifer
(2024)
Urinary infection management in frail or comorbid older individuals.
European Urology Focus, [https://doi.org/10.1016/j.euf.2024.08.007].
(doi:10.1016/j.euf.2024.08.007).
Abstract
Urinary tract infection (UTI) is common among older individuals, especially those with frailty and comorbidity. Asymptomatic bacteriuria is also common in this group and does not require treatment. UTI diagnosis is complicated by atypical signs and symptoms such as confusion or functional decline. This necessitates a more holistic assessment according to a diagnostic algorithm that includes nonspecific symptoms to avoid overdiagnosis or underdiagnosis. Treatment strategies for UTI in older people generally align with those for younger people, with some exceptions. Prophylaxis is similar to that for postmenopausal women. However, it is crucial to carefully consider comorbidities, polypharmacy, and the risk of potential adverse events.
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Accepted/In Press date: 22 August 2024
e-pub ahead of print date: 31 August 2024
Keywords:
Antimicrobial resistanceComorbidityGeriatricGuidelinesPolypharmacyUrinary tract infections, Polypharmacy, Comorbidity, Geriatric, Urinary tract infections, Antimicrobial resistance, Guidelines
Identifiers
Local EPrints ID: 494116
URI: http://eprints.soton.ac.uk/id/eprint/494116
PURE UUID: 95cbf15a-680e-4fda-afbc-a42578927eb0
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Date deposited: 24 Sep 2024 16:40
Last modified: 25 Sep 2024 01:38
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Contributors
Author:
Kathrin Bausch
Author:
Fabian P. Stangl
Author:
Gernot Bonkat
Author:
Jennifer Kranz
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