Title |
Optimal management of urinary tract infections in older people
|
---|---|
Published in |
Clinical Interventions in Aging, June 2011
|
DOI | 10.2147/cia.s13423 |
Pubmed ID | |
Authors |
Louise A Beveridge, Peter G Davey, Gabby Phillips, Marion ET McMurdo |
Abstract |
Urinary tract infections (UTI) occur frequently in older people. Unfortunately, UTI is commonly overdiagnosed and overtreated on the basis of nonspecific clinical signs and symptoms. The diagnosis of a UTI in the older patient requires the presence of new urinary symptoms, with or without systemic symptoms. Urinalysis is commonly used to diagnose infection in this population, however, the evidence for its use is limited. There is overwhelming evidence that asymptomatic bacteriuria should not be treated. Catheter associated urinary tract infection accounts for a significant amount of hospital-associated infection. Indwelling urinary catheters should be avoided where possible and alternatives sought. The use of narrow spectrum antimicrobial agents for urinary tract infection is advocated. Local guidelines are now widely used to reflect local resistance patterns and available agents. Guidelines need to be updated to reflect changes in antimicrobial prescribing and a move from broad to narrow spectrum antimicrobials. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 1 | 25% |
Georgia | 1 | 25% |
Unknown | 2 | 50% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 2 | 50% |
Science communicators (journalists, bloggers, editors) | 1 | 25% |
Practitioners (doctors, other healthcare professionals) | 1 | 25% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 3 | 1% |
Canada | 2 | <1% |
United States | 2 | <1% |
Cyprus | 1 | <1% |
Mexico | 1 | <1% |
Singapore | 1 | <1% |
Denmark | 1 | <1% |
Lebanon | 1 | <1% |
Unknown | 208 | 95% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Bachelor | 41 | 19% |
Student > Master | 27 | 12% |
Other | 25 | 11% |
Student > Postgraduate | 22 | 10% |
Student > Ph. D. Student | 19 | 9% |
Other | 47 | 21% |
Unknown | 39 | 18% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 87 | 40% |
Nursing and Health Professions | 22 | 10% |
Agricultural and Biological Sciences | 16 | 7% |
Biochemistry, Genetics and Molecular Biology | 11 | 5% |
Immunology and Microbiology | 8 | 4% |
Other | 31 | 14% |
Unknown | 45 | 20% |