Urinary Tract Infection and Asymptomatic Bacteriuria in Older Adults

被引：137

作者：

Cortes-Penfield, Nicolas W. ^{[1
]}

Trautner, Barbara W. ^{[1
,2
]}

Jump, Robin L. P. ^{[3
,4
]}

机构：

[1] Baylor Coll Med, Dept Med, Sect Infect Dis, 1 Baylor Plaza, Houston, TX 77030 USA

[2] Michael E DeBakey VA Med Ctr, Ctr Innovat Qual Effectiveness & Safety, 2002 Holcombe Blvd 152, Houston, TX 77030 USA

[3] Case Western Reserve Univ, Dept Med, Div Infect Dis & HIV Med, 11100 Euclid Ave, Cleveland, OH 44195 USA

[4] Louis Stokes Cleveland Vet Affairs Med Ctr, Specialty Care Ctr Innovat, GRECC, 111C W,10701 East Blvd, Cleveland, OH 44106 USA

来源：

INFECTIOUS DISEASE CLINICS OF NORTH AMERICA | 2017年 / 31卷 / 04期

关键词：

Older adults; Urinary tract infection; Asymptomatic bacteriuria; TERM-CARE FACILITIES; NURSING-HOME RESIDENTS; CARBAPENEM-RESISTANT ENTEROBACTERIACEAE; PELVIC PAIN SYNDROME; DISEASES-SOCIETY; UNITED-STATES; SEXUAL INTERCOURSE; ESCHERICHIA-COLI; KIDNEY-FUNCTION; PLUS PYURIA;

D O I：

10.1016/j.idc.2017.07.002

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

Urinary tract infections (UTIs) are a significant cause of morbidity among older adults. However, antibiotic prescriptions for clinically suspected UTIs are often inappropriate. Health care providers frequently struggle to differentiate UTI from asymptomatic bacteriuria, particularly in patients presenting with nonspecific symptoms. Patient's with baseline cognitive impairments that limit history-taking can be particularly challenging. This article reviews the epidemiology and pathogenesis of UTI in older adults. It discusses an approach to diagnosis and treatment focused on recognizing patients who would likely benefit from antibiotic treatment and on identifying patients for whom empiric antibiotic therapy should not be given.

引用

页码：673 / +

页数：17

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