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Article: Treatment of urinary tract infections in the old and fragile

TitleTreatment of urinary tract infections in the old and fragile
Authors
KeywordsUrinary infection
Urinary infection
Elderly
Frail
Asymptomatic bacteriuria
Issue Date2020
PublisherSpringer Verlag. The Journal's web site is located at https://link.springer.com/journal/345
Citation
World Journal of Urology, 2020, Epub 2020-03-27 How to Cite?
AbstractIntroduction: Urinary tract infection (UTI) is highly prevalent in the frail elderly population. This review aimed to outline the diagnostic, treatment, and prevention of UTI in the frail aging population. Methods: Pubmed and Web of Science search to identify publications until March 2019 relating to the management of UTI in the elderly population was performed. A narrative review of the available literature was performed. Results: 64 publications were considered as relevant and included in this review. The diagnosis of symptomatic UTI in the old and fragile could be challenging. Routine screening and antimicrobial therapy for asymptomatic bacteriuria should not be recommended for frail elderly patients. Cautious choice of antibiotics should be guided by uropathogen identified by culture and sensitivity. Understanding local antibiotic resistance rates plays a fundamental part in selecting appropriate antimicrobial treatment. Impact of associated adverse effect, in particular those with effects on cognitive function, should be considered when deciding choice of antibiotics for symptomatic UTI in the elderlies. Optimal management of comorbidities such as diabetes mellitus, adequate treatment of urinary incontinence, and judicious use of urinary catheter is essential to reduce the development of UTI. Conclusion: UTI is a significant but common problem in elderly population. Physicians who care for frail elderly patients must be aware of the challenges in the management of asymptomatic UTI, and identifying symptomatic UTI in this population, and their appropriate management strategies. There is strong need in studies to evaluate nonantimicrobial therapies in the prevention of UTI for the frail elderly population.
Persistent Identifierhttp://hdl.handle.net/10722/284122
ISSN
2023 Impact Factor: 2.8
2023 SCImago Journal Rankings: 0.975
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorZeng, G-
dc.contributor.authorZhu, W-
dc.contributor.authorLam, W-
dc.contributor.authorBayramgil, A-
dc.date.accessioned2020-07-20T05:56:16Z-
dc.date.available2020-07-20T05:56:16Z-
dc.date.issued2020-
dc.identifier.citationWorld Journal of Urology, 2020, Epub 2020-03-27-
dc.identifier.issn0724-4983-
dc.identifier.urihttp://hdl.handle.net/10722/284122-
dc.description.abstractIntroduction: Urinary tract infection (UTI) is highly prevalent in the frail elderly population. This review aimed to outline the diagnostic, treatment, and prevention of UTI in the frail aging population. Methods: Pubmed and Web of Science search to identify publications until March 2019 relating to the management of UTI in the elderly population was performed. A narrative review of the available literature was performed. Results: 64 publications were considered as relevant and included in this review. The diagnosis of symptomatic UTI in the old and fragile could be challenging. Routine screening and antimicrobial therapy for asymptomatic bacteriuria should not be recommended for frail elderly patients. Cautious choice of antibiotics should be guided by uropathogen identified by culture and sensitivity. Understanding local antibiotic resistance rates plays a fundamental part in selecting appropriate antimicrobial treatment. Impact of associated adverse effect, in particular those with effects on cognitive function, should be considered when deciding choice of antibiotics for symptomatic UTI in the elderlies. Optimal management of comorbidities such as diabetes mellitus, adequate treatment of urinary incontinence, and judicious use of urinary catheter is essential to reduce the development of UTI. Conclusion: UTI is a significant but common problem in elderly population. Physicians who care for frail elderly patients must be aware of the challenges in the management of asymptomatic UTI, and identifying symptomatic UTI in this population, and their appropriate management strategies. There is strong need in studies to evaluate nonantimicrobial therapies in the prevention of UTI for the frail elderly population.-
dc.languageeng-
dc.publisherSpringer Verlag. The Journal's web site is located at https://link.springer.com/journal/345-
dc.relation.ispartofWorld Journal of Urology-
dc.rightsThis is a post-peer-review, pre-copyedit version of an article published in [insert journal title]. The final authenticated version is available online at: http://dx.doi.org/[insert DOI]-
dc.subjectUrinary infection-
dc.subjectUrinary infection-
dc.subjectElderly-
dc.subjectFrail-
dc.subjectAsymptomatic bacteriuria-
dc.titleTreatment of urinary tract infections in the old and fragile-
dc.typeArticle-
dc.identifier.emailLam, W: lamwayne@hku.hk-
dc.identifier.authorityLam, W=rp02305-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1007/s00345-020-03159-2-
dc.identifier.scopuseid_2-s2.0-85082956401-
dc.identifier.hkuros311070-
dc.identifier.volumeEpub 2020-03-27-
dc.identifier.isiWOS:000521883100001-
dc.publisher.placeGermany-
dc.identifier.issnl0724-4983-

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