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Urinary Tract Infection in Geriatric Patients

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1. Recurrent uncomplicated urinary tract infections in women: AUA/CUA/SUFU

Practice Resources Coding and Reimbursement Practice Managers' Network (PMN) Patient Safety and Quality of Care Accreditations and Reporting Patient Education Recurrent Uncomplicated Urinary Tract Infections in Women: AUA/CUA/SUFU Guideline (2019) Published 2019 [pdf] [pdf] Panel Members Jennifer Anger, MD, MPH; Una Lee, MD; A. Lenore Ackerman, MD, PhD; Roger Chou, MD; Bilal Chughtai, MD; J. Quentin Clemens, MD; Duane Hickling, MD, MSCI; Anil Kapoor, MD; Kimberly S. Kenton, MD, MS; Melissa R. Kaufman (...) seeking prevention of urinary tract infections (UTIs) in the operative or procedural setting. In this document, the term UTI will refer to acute bacterial cystitis unless otherwise specified. This document seeks to establish guidance for the evaluation and management of patients with rUTIs to prevent inappropriate use of antibiotics, decrease the risk of antibiotic resistance, reduce adverse effects of antibiotic use, provide guidance on antibiotic and non-antibiotic strategies for prevention

2019 Canadian Urological Association

2. Recurrent Uncomplicated Urinary Tract Infections in Women

of urinary tract infections (UTIs) in the operative or procedural setting. In this document, the term UTI will refer to acute bacterial cystitis unless otherwise specified. This document seeks to establish guidance for the evaluation and management of patients with rUTIs to prevent inappropriate use of antibiotics, decrease the risk of antibiotic resistance, reduce adverse effects of antibiotic use, provide guidance on antibiotic and non-antibiotic strategies for prevention, and improve clinical outcomes (...) . “Uncomplicated” means that the patient has no known factors that would make her more susceptible to develop a UTI, while “complicated” indicates that other complicating factors may put one at higher risk for UTI and decreased treatment efficacy. Such complicating factors may include an anatomic or functional abnormality of the urinary tract (e.g., stone disease, diverticulum, neurogenic bladder), an immunocompromised host, or infection with multi-drug resistant (MDR) bacteria. In this guideline, the term UTI

2019 American Urological Association

3. Urinary tract infections in a geriatric sub-acute ward-health correlates and atypical presentations (PubMed)

Urinary tract infections in a geriatric sub-acute ward-health correlates and atypical presentations Bacterial urinary tract infections (UTIs) are the most frequently occurring infectious diseases in the geriatric population. The aim of the study was to determine the prevalence and clinical features of UTIs in geriatric in-patients and their association with health and functional ability characteristics.A prospective cross-sectional cohort study was conducted among patients hospitalized (...) of UTI were recurrent UTI and urinary catheter. The typical clinical UTI symptoms occurred in less than half of the cases (only in 11.1% of cases fever was observed). More often, than in patients without UTIs, they reported symptoms such as delirium (28.9% vs. 18%), tachycardia (11.1% vs. 1.5%) or hypotension (20% vs. 12.1%).Bacterial UTIs affect about 1/5 of hospitalized geriatric patients. The clinical picture of these infections very often is atypical and it indicates a need for diagnostic

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2018 European Geriatric Medicine

4. Efficacy of Chinese herbal medicine in a case of geriatric urinary tract infections with pain of episiotomy scar inflammation. (PubMed)

Efficacy of Chinese herbal medicine in a case of geriatric urinary tract infections with pain of episiotomy scar inflammation. Urinary tract infections (UTIs) are common infectious diseases in women. The management of patients with UTI after menopause is commonly combined with antibiotics and external application of estrogen, which could also cause drug resistance and result in poor curative effect. This study reports a case of UTI with pain of episiotomy scar inflammation for 10 years, which (...) was successfully cured under traditional Chinese medicine (TCM) and showed no recurrence for 5 years.A female patient, aged 71 years, experienced UTIs with pain of episiotomy scar inflammation for 10 years. Under antibiotics and external application of estrogen therapy, the patient still had no significant curative effect. Therefore, he was admitted to treatment with TCM for complementary therapy.UTIs with pain of episiotomy scar inflammation.This patient was treated with Chinese herbal medicine (CHM

2018 Medicine

5. Risk factors for urinary tract infections in geriatric hospitals. (PubMed)

Risk factors for urinary tract infections in geriatric hospitals. Urinary tract infection (UTI) is the most frequent nosocomial infection in geriatric units. An understanding of risk factors for infection may help to identify prevention strategies.Identification of the risk factors for UTI in elderly patients.Retrospective analysis of three prospective cohorts. All hospitalized patients present in, or admitted to, a geriatric unit from June 1st to June 28th, for the years 2009, 2012, and 2015 (...) , in immunosuppressed patients, among those with acute retention, post-void residual, history of urinary tract infection in the previous six months, and in case of dependency. NUTIs were significantly more frequent among those who had a catheter (Z-test, P < 0.001). NUTIs were more frequent among patients with intermittent, indwelling, or suprapubic catheters. They were also more frequent in acute/subacute care or rehabilitation units, in women, in immunosuppressed patients, and in those with a history of previous

2017 Journal of Hospital Infection

6. Point-of-care testing for urinary tract infections

Point-of-care testing for urinary tract infections Diagnostic Evidence Co-operative Oxford NIHR Diagnostic Evidence Cooperative Oxford www.oxford.dec.nihr.ac.uk Clinical Question: In diagnosing patients with suspected urinary tract infections, what is the accuracy and utility of point-of- care tests compared to the current standard of urine microscopy, culture and antibiotic sensitivity analysis? Background, Current Practice and Advantages over Existing Technology: Background Urinary tract (...) results in pyelonephritis. UTIs are categorised as either uncomplicated or complicated. Uncomplicated UTIs can be further sub- classified into cystitis (lower urinary tract) and pyelonephritis (upper urinary tract). Patients with cystitis typically present with dysuria, frequency, urgency, haematuria and/or suprapubic pain; pyelonephritis classically manifests with flank pain, costovertebral angle tenderness, fever, nausea and vomiting in addition Point-of-care testing for urinary tract infections

2016 NIHR DEC Oxford

7. Treatment of febrile geriatric patients with suspected urinary tract infections in a hospital with high rates of ESBL producing bacteria: a cohort study. (PubMed)

Treatment of febrile geriatric patients with suspected urinary tract infections in a hospital with high rates of ESBL producing bacteria: a cohort study. To determine the consequences of treating febrile geriatric patients with a suspected urinary tract infection (UTI) with antibiotics that have high resistance rates due primarily to extended-spectrum β-lactamase (ESBL) producing bacteria.In this cohort study, we selected 257 consecutive hospitalised patients aged ≥70 years with a chief symptom (...) of hospitalisation by 3 days in many hospitalised geriatric patients without an extra-urinary tract source for their fever. This benefit needs to be balanced against the risk to the individual patient and to the general public of increasing bacterial resistance rates to broader spectrum antibiotics often held in reserve.Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

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2016 BMJ open

8. Urinary Tract Infection in Geriatric Patients

Urinary Tract Infection in Geriatric Patients Urinary Tract Infection in Geriatric Patients Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer (...) Administration 4 Urinary Tract Infection in Geriatric Patients Urinary Tract Infection in Geriatric Patients Aka: Urinary Tract Infection in Geriatric Patients , UTI in Older Adults , Elderly with Urinary Tract Infections II. Symptoms See III. Signs: Upper tract infection or Flank tenderness is absent in as many as 50% of elderly patients with IV. Risk factors Postmenopausal Women (BPH) Neurogenic More common in , and CVA history Prolonged bed rest Indwelling catheter See V. Causes (non-E. coli Urinary Tract

2018 FP Notebook

9. Determination of Escherichia coli phylogroups in elderly patients with urinary tract infection or asymptomatic bacteriuria. (PubMed)

Determination of Escherichia coli phylogroups in elderly patients with urinary tract infection or asymptomatic bacteriuria. Distinguishing between urinary tract infection (UTI) and asymptomatic bacteriuria (ABU) is difficult in the geriatric population since specific symptoms are often lacking. Escherichia coli is the most frequent UTI pathogen in this population but also a common urine colonizer. We hypothesized that detecting E. coli phylogroups B2 or D, which were previously associated (...) with virulent strains responsible for extra-intestinal infections outside elderly patients, could help in distinguishing UTI from ABU.Consecutive cases of E. coli bacteriuria diagnosed in hospitalized patients >75 years old during 3 months were investigated for E. coli phylogroups. Multiplex PCR was used to search for several virulence genes as previously described. Characteristics of UTI and ABU cases, assessed retrospectively according to definitions and geriatric expertise, were compared.Out of 233

2019 Clinical Microbiology and Infection

10. Treatment of Urinary Tract Infections in the Elderly

/articles/PMC3878051 PubMed: PM24391677 8. Matthews SJ, Lancaster JW. Urinary tract infections in the elderly population. Am J Geriatr Pharmacother. 2011 Oct;9(5):286-309. PubMed: PM21840265 (...) Treatment of Urinary Tract Infections in the Elderly Disclaimer: The Rapid Response Service is an information service for those involved in planning and providing health care in Canada. Rapid responses are based on a limited literature search and are not comprehensive, systematic reviews. The intent is to provide a list of sources of the best evidence on the topic that CADTH could identify using all reasonable efforts within the time allowed. Rapid responses should be considered along

2015 Canadian Agency for Drugs and Technologies in Health - Rapid Review

11. Controlling urinary tract infections associated with intermittent bladder catheterization in geriatric hospitals. (PubMed)

Controlling urinary tract infections associated with intermittent bladder catheterization in geriatric hospitals. Controlling urinary tract infections (UTIs) associated with intermittent catheterization in geriatric patients.After a local epidemiological study identified high rates of UTI, a multi-disciplinary working group implemented and evaluated corrective measures.In 2009, a one-month prospective study measured the incidence of UTI, controlled for risk factors and exposure, in six (...) was repeated in 2012 to assess the impact of the programme.Over 1500 patients were included in the 2009 study. The incidence of acquired infection was 4.8%. The infection rate was higher in patients with intermittent catheters than in patients with indwelling catheters (29.7 vs 9.9 UTI per 100 patients, P = 0.1013) which contradicts the literature. In 2010, the 269 responses to the questionnaire showed that staff did not consider catheterization to place patients at risk of infection, staff had poor

2015 Journal of Hospital Infection

12. Diagnosis and Management of Utinary Tract Infection in Long Term Care Facilities

Diagnosis and Management of Utinary Tract Infection in Long Term Care Facilities DIAGNOSIS AND MANAGEMENT OF URINARY TRACT INFECTION IN LONG TERM CARE FACILITIES Clinical Practice Guideline | January 2015 These recommendations are systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances. They should be used as an adjunct to sound clinical decision making. OBJECTIVE Alberta clinicians caring for residents (...) Guidelines Network (SIGN); 2006 Jul. Available from: http://www.sign.ac.uk/pdf/sign88.pdf 5. Robichaud S, Blondeau J. Urinary tract infections in older adults: current issues and new therapeutic options. Geriatr Aging. 2008;11(10):582–8. 6. Nicolle LE. Antimicrobial stewardship in long term care facilities: what is effective? Antimicrob Resist Infect Control. 2014;3(1):6. 7. Calgary Lab Services. Microbiology Newsletters [Internet]. [cited 2014 Oct 8]. Available from: http://www.calgarylabservices.com

2016 Toward Optimized Practice

13. Urinary Tract Infection in Geriatric Patients

Urinary Tract Infection in Geriatric Patients Urinary Tract Infection in Geriatric Patients Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer (...) Administration 4 Urinary Tract Infection in Geriatric Patients Urinary Tract Infection in Geriatric Patients Aka: Urinary Tract Infection in Geriatric Patients , UTI in Older Adults , Elderly with Urinary Tract Infections II. Symptoms See III. Signs: Upper tract infection or Flank tenderness is absent in as many as 50% of elderly patients with IV. Risk factors Postmenopausal Women (BPH) Neurogenic More common in , and CVA history Prolonged bed rest Indwelling catheter See V. Causes (non-E. coli Urinary Tract

2015 FP Notebook

14. Protective effect of influenza vaccination on outcomes in geriatric stroke patients: A nationwide matched cohort study. (PubMed)

and older. Using a matching procedure by propensity score, we selected 25,248 stroke patients with IV and 25,248 stroke patients without IV for comparison. Logistic regression was used to calculate the odds ratios (ORs) and 95% CIs of post-stroke complications and in-hospital mortality associated with IV.Stroke patients with IV had significantly lower risks of post-stroke pneumonia (OR = 0.79; 95% CI, 0.74-0.83), septicemia (OR = 0.78; 95% CI, 0.70-0.86), urinary tract infection (OR = 0.87; 95% CI, 0.83 (...) Protective effect of influenza vaccination on outcomes in geriatric stroke patients: A nationwide matched cohort study. The effects of influenza vaccination (IV) on stroke outcomes are unclear. The purpose of this study is to evaluate the outcomes after stroke in elderly individuals who have received an IV.We used Taiwan's National Health Insurance Research Database 2000-2009 claims data to conduct a nested stroke cohort study including 148,909 hospitalized stroke patients aged 66 years

2019 Atherosclerosis

15. Nosocomial Bacteriuria in Geriatric Internal Medicine Services and Follow-up Care and Geriatric Rehabilitation of the Strasbourg University Hospitals

tract infection (occurred more than 48h after admission) Criteria Inclusion Criteria: patient of age who has been hospitalized in geriatric wards (rehabilitation car service and internal medicine) of Strasbourg's University hospital date of hospital leaving after 1/1/17 and before 1/1/18 patient who has a health-care urinary tract infection (occurred more than 48h after admission) single bacteria in the CBEU bacteriuria > 105 cfu/mL regardless which clinical context or bacteria if a patient has (...) associated bacteriuria in short and medium term of geriatrics wards in Strasbourg's University Hospital, between 2003 and 2017, in the follow-up of Eric de Pasquale's thesis in 2010. This comparative study will allow to see the evolution of urinary bacterial ecology, bacterial sensitivity to antibiotics, and the part of multi-resistant bacteria, during these 14 years in geriatric services in Strasbourg. Condition or disease Urinary Tract Infection Study Design Go to Layout table for study information

2018 Clinical Trials

16. The Impact of Nutritional Status and Complete Blood Count Parameters on Clinical Outcome in Geriatric Critically Ill Patients (PubMed)

%). The most common MDI sources were lower respiratory tract, bloodstream, and urinary tract infections. Patients with thrombocytopenia on admission had a higher mortality rate than patients with normal platelet count (P = 0.019). The initial albumin level of non-survivors was significantly lower than that of survivors (P = 0.001). There was a significant negative correlation between albumin level and LOS (r = -0.157; P = 0.000). Patients with hypoalbuminemia (albumin < 3.2 g/dL) at the time of diagnosis (...) The Impact of Nutritional Status and Complete Blood Count Parameters on Clinical Outcome in Geriatric Critically Ill Patients The geriatric population in intensive care units (ICUs) has recently increased. The aim of this study was to analyse the impact of initial complete blood count (CBC)-related parameters and nutritional status on morbidity and mortality in geriatric ICU patients.A retrospective analysis was made of geriatric patients admitted to our tertiary adult ICU for 1 year. Patients

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2018 Journal of clinical medicine research

17. Beyond Urinary Tract Infections (UTIs) and Delirium: A Systematic Review of UTIs and Neuropsychiatric Disorders. (PubMed)

Beyond Urinary Tract Infections (UTIs) and Delirium: A Systematic Review of UTIs and Neuropsychiatric Disorders. Urinary tract infections (UTIs) are among the most common bacterial infections. Although comorbid UTI in geriatric patients with delirium or dementia is well known, the prevalence and scope of the association with other neuropsychiatric disorders is unclear. We performed a systematic review of the association between UTIs and delirium, dementia, psychotic disorders, and mood (...) of UTIs in subjects was 19.4% for delirium, 11.2% for dementia, 21.7% for nonaffective psychotic disorders, and 17.8% for mood disorders. Our findings, which must be interpreted carefully given the heterogeneity among the studies, suggest that UTIs are highly comorbid in hospitalized patients and may precipitate or exacerbate some neuropsychiatric disorders. The association extends beyond geriatric patients with delirium, affects males and females, and includes adults with psychotic and mood disorders

2015 Journal of psychiatric practice

18. Urinary Incontinence

reagent strip in screening women with incontinence for urinary tract infection. Int Urogynecol J Pelvic Floor Dysfunct, 2004. 15: 391. 32. Arinzon, Z., et al. Clinical presentation of urinary tract infection (UTI) differs with aging in women. Arch Gerontol Geriatr, 2012. 55: 145. 33. Moore, E.E., et al. Urinary incontinence and urinary tract infection: temporal relationships in postmenopausal women. Obstet Gynecol, 2008. 111: 317. 34. Ouslander, J.G., et al. Does eradicating bacteriuria affect (...) , and pressure-flow study. Neurourol Urodyn, 2017. 36: 1243. 74. Al Afraa, T., et al. Normal lower urinary tract assessment in women: I. Uroflowmetry and post-void residual, pad tests, and bladder diaries. Int Urogynecol J, 2012. 23: 681. 75. Krhut, J., et al. Pad weight testing in the evaluation of urinary incontinence. Neurourol Urodyn, 2014. 33: 507. 76. Painter, V., et al. Does patient activity level affect 24-hr pad test results in stress-incontinent women? Neurourol Urodyn, 2012. 31: 143. 77. Rimstad

2019 European Association of Urology

19. A comparison of treatment setting for elderly patients with hip fracture, is the geriatric ward superior to conventional orthopedic hospitalization? (PubMed)

and the Charlson Comorbidity Index were similar between groups. Patients from the orthopedic ward had shorter hospitalization time (9±5.1 vs. 10.8±6.7days, p=0.022) and presented a lower in-hospital complication rates (0.6±0.96 vs. 1±1.9, p=0.022), namely fewer events of urinary retentions, urinary tract infections and pneumonias (8.8% vs. 23.9%, p=0.004, 3.9% vs. 14.5%, p=0.010 and 2.9% vs. 12.2%, p=0.034, respectfully). Readmission rates were similar. Neither in hospital nor one year mortality rates differed (...) A comparison of treatment setting for elderly patients with hip fracture, is the geriatric ward superior to conventional orthopedic hospitalization? Hip fractures in the elderly are a major cause of morbidity and mortality. The treatment settings of these patients may change their outcomes. The aim of this study is to compare the outcomes of patients with displaced femoral neck fractures who were admitted to the orthopedic vs. geriatric wards.A retrospective study was conducted on 217

2017 Injury

20. The Efficacy of Solifenacin Succinate as Adjuvant Therapy for Urinary Tract Infection in Females

: 18 Years to 65 Years (Adult, Older Adult) Sexes Eligible for Study: Female Accepts Healthy Volunteers: No Criteria Inclusion Criteria: females (18-65 years old) dysuria in symptomatic non complicated urinary tract infection Exclusion Criteria: Pediatric Patients (< 18 years old) geriatric Patients (> 65 years old) pregnant Patients Patients with complicated urinary tract infection sexually transmitted infections Patients with pathological abnormalities in the urinary bladder, including stone/mass (...) -term treatment to reduce symptoms in patients with symptomatic non complicated urinary tract infection in females. Condition or disease Intervention/treatment Phase Urinary Tract Infection Drug: Levofloxacin Drug: Solifenacin succinate Drug: Placebo (for Solifenacin succinate) Phase 4 Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Estimated Enrollment : 126 participants Allocation: Randomized Intervention Model: Parallel Assignment Masking

2014 Clinical Trials

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