TY - JOUR
T1 - Diagnosis, treatment and registration of urinary tract infections in geriatric patients.
AU - Friis-Møller, Alice
AU - Lüneborg-Nielsen, Margrethe
PY - 2002
Y1 - 2002
N2 - Bacteriuria (> or = 10(5) CFU/ml) is a very common phenomenon in elderly people, occurring twice as frequently in women than in men. There are symptomatic and asymptomatic types of bacteriuria. Risk factors include: a decrease in the estrogen level in women after the menopause, catheterisation, urinary bladder dysfunction, hypertrophy of the prostate gland, diabetes, neurological illnesses. The diagnosis of bacteriuria is based on quantitative urine culture (positive result--> or = 10(5) CFU/ml bacteriae). The most frequent pathogens are: E. coli, enterococci, staphylococci, Pseudomonas aeruginosa, Proteus mirabilis. The antimicrobial therapy is not advised for asymptomatic bacteriuria. In the case of symptomatic bacteriuria it is advised to take urine for culture and to perform sensitivity testing as well as blood culture and to start a "blind therapy". In order to use the antimicrobial treatment effectively, the most frequently occurring pathogens should be registered and their sensitivity patterns in the given hospital recognised.
AB - Bacteriuria (> or = 10(5) CFU/ml) is a very common phenomenon in elderly people, occurring twice as frequently in women than in men. There are symptomatic and asymptomatic types of bacteriuria. Risk factors include: a decrease in the estrogen level in women after the menopause, catheterisation, urinary bladder dysfunction, hypertrophy of the prostate gland, diabetes, neurological illnesses. The diagnosis of bacteriuria is based on quantitative urine culture (positive result--> or = 10(5) CFU/ml bacteriae). The most frequent pathogens are: E. coli, enterococci, staphylococci, Pseudomonas aeruginosa, Proteus mirabilis. The antimicrobial therapy is not advised for asymptomatic bacteriuria. In the case of symptomatic bacteriuria it is advised to take urine for culture and to perform sensitivity testing as well as blood culture and to start a "blind therapy". In order to use the antimicrobial treatment effectively, the most frequently occurring pathogens should be registered and their sensitivity patterns in the given hospital recognised.
KW - Aged
KW - Aged, 80 and over
KW - Anti-Bacterial Agents
KW - Bacteriological Techniques
KW - Bacteriuria
KW - Denmark
KW - Female
KW - Geriatric Assessment
KW - Humans
KW - Male
KW - Microbial Sensitivity Tests
KW - Urinary Tract Infections
KW - Urine
M3 - Journal article
C2 - 12898972
SN - 0066-2240
VL - 57
SP - 540
EP - 543
JO - Annales Universitatis Mariae Curie-Sklodowska. Sectio D. Medicina
JF - Annales Universitatis Mariae Curie-Sklodowska. Sectio D. Medicina
IS - 1
ER -