Don't assume urinary tract infection is the cause of delirium in older adults

BMJ ◽  
2013 ◽  
Vol 346 (may15 1) ◽  
pp. f3005-f3005 ◽  
Author(s):  
S. Ninan
Keyword(s):  
Older Adults ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection

The Benefits and Harms of Antibiotic Prophylaxis for Urinary Tract Infection in Older Adults

2021 ◽  
Author(s):  
Bradley J Langford ◽  
Kevin A Brown ◽  
Christina Diong ◽  
Alex Marchand-Austin ◽  
Kwaku Adomako ◽  
...  
Keyword(s):  
Older Adults ◽  
Urinary Tract Infection ◽  
Antibiotic Resistance ◽  
Urinary Tract ◽  
Tract Infection ◽  
Antibiotic Prophylaxis ◽  
Bloodstream Infection ◽  
Antibiotic Treatment ◽  
Positive Culture ◽  
Clostridioides Difficile

Abstract Background The role of antibiotics in preventing urinary tract infection (UTI) in older adults is unknown. We sought to quantify the benefits and risks of antibiotic prophylaxis among older adults. Methods We conducted a matched cohort study comparing older adults (≥66 years) receiving antibiotic prophylaxis, defined as antibiotic treatment for ≥30 days starting within 30 days of a positive culture, with patients with positive urine cultures who received antibiotic treatment but did not receive prophylaxis. We matched each prophylaxis recipient to 10 nonrecipients based on organism, number of positive cultures, and propensity score. Outcomes included (1) emergency department (ED) visit or hospitalization for UTI, sepsis, or bloodstream infection within 1 year; (2) acquisition of antibiotic resistance in urinary tract pathogens; and (3) antibiotic-related complications. Results Overall, 4.7% (151/3190) of UTI prophylaxis patients and 3.6% (n = 1092/30 542) of controls required an ED visit or hospitalization for UTI, sepsis, or bloodstream infection (hazard ratio [HR], 1.33; 95% confidence interval [CI], 1.12–1.57). Acquisition of antibiotic resistance to any urinary antibiotic (HR, 1.31; 95% CI, 1.18–1.44) and to the specific prophylaxis agent (HR, 2.01; 95% CI, 1.80–2.24) was higher in patients receiving prophylaxis. While the overall risk of antibiotic-related complications was similar between groups (HR, 1.08; 95% CI, .94–1.22), the risk of Clostridioides  difficile and general medication adverse events was higher in prophylaxis recipients (HR [95% CI], 1.56 [1.05–2.23] and 1.62 [1.11–2.29], respectively). Conclusions Among older adults with UTI, the harms of long-term antibiotic prophylaxis may outweigh their benefits.

scholarly journals Urinary Tract Infection and Asymptomatic Bacteriuria in Older Adults

2017 ◽  
Vol 31 (4) ◽  
pp. 673-688 ◽  
Author(s):  
Nicolas W. Cortes-Penfield ◽  
Barbara W. Trautner ◽  
Robin L.P. Jump
Keyword(s):  
Older Adults ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Asymptomatic Bacteriuria

scholarly journals 11010 The diagnostic accuracy of procalcitonin for urinary tract infection in hospitalized older adults

2021 ◽  
pp. 1-2
Author(s):  
Justin Choi ◽  
Kerry Meltzer ◽  
Anna Cornelius-Schecter ◽  
Assem Jabri ◽  
Matthew Simon ◽  
...  
Keyword(s):  
Older Adults ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Diagnostic Accuracy ◽  
Hospitalized Older Adults

scholarly journals Incidence and antibiotic prescribing for clinically diagnosed urinary tract infection in older adults in UK primary care, 2004-2014

PLoS ONE ◽  
2018 ◽  
Vol 13 (1) ◽  
pp. e0190521 ◽  
Author(s):  
Haroon Ahmed ◽  
Daniel Farewell ◽  
Hywel M. Jones ◽  
Nick A. Francis ◽  
Shantini Paranjothy ◽  
...  
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Antibiotic Prescribing

scholarly journals Urinary Tract Infection Management in Elderly People : Approach Beyond the Pills and Needles

2017 ◽  
Vol 16 (1) ◽  
pp. 3-6
Author(s):  
Abhijit Chowdhury ◽  
Jannatul Ferdoush ◽  
Mokhlesur Rahman ◽  
Binayok Das ◽  
Prasenjit Sarker
Keyword(s):  
Older Adults ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Treatment Strategies ◽  
Aged Care ◽  
Psychosocial Needs ◽  
Care Facilities ◽  
Aged Care Facilities ◽  
Tract Infections

This review article focuses on critical analyses of the approach towards the management of older adults suffering from urinary tract infections. The article sheds light on the better scopes of management for these patients beyond the conventional treatment strategies to deal with the disease complexities with a goal to achieve patient satisfaction as well as fulfilling their psychosocial needs. Medline (1946) Scopus, Embase,CINAHL and PsycINFO were searched for articles published from 1980 to 2015 using the keywords Urinary Tract Infection, Older Adults, Elderly, Aged and Aged Care Facilities. The reference lists of the selected publications were also reviewed. Articles published only in English have been chosen.Chatt Maa Shi Hosp Med Coll J; Vol.16 (1); Jan 2017; Page 3-6

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