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Urinary Tract Infection in Geriatric Patients

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1. Cost-Effectiveness of Screening Ultrasound after a First, Febrile Urinary Tract Infection in Children Age 2-24 Months. (Abstract)

Cost-Effectiveness of Screening Ultrasound after a First, Febrile Urinary Tract Infection in Children Age 2-24 Months. To estimate the cost-effectiveness of routine, screening renal bladder ultrasound (RBUS) for children age 2-24 months after a first febrile urinary tract infection (UTI), as recommended by the American Academy of Pediatrics.We developed a decision analytic model that simulates a population of children after a first febrile UTI. The model incorporates the diagnostic utility (...) after a first febrile UTI, RBUS had an overall accuracy (true positives + true negatives) of 64.4%. The recurrent UTI rate in the intervention arm was 19.9% compared with 21.0% in the control arm. Thus, 91 patients would need to be screened with RBUS to prevent 1 recurrent UTI. RBUS increases QALYs by +0.0002 per patient screened, corresponding to an incremental cost-effectiveness ratio of $803 000/QALY gained. In the RBUS arm, 20.6% of children would receive unnecessary voiding cystourethrograms

2019 Journal of Pediatrics

2. Antibiotic management of urinary tract infection in elderly patients in primary care and its association with bloodstream infections and all cause mortality: population based cohort study. Full Text available with Trip Pro

Antibiotic management of urinary tract infection in elderly patients in primary care and its association with bloodstream infections and all cause mortality: population based cohort study. To evaluate the association between antibiotic treatment for urinary tract infection (UTI) and severe adverse outcomes in elderly patients in primary care.Retrospective population based cohort study.Clinical Practice Research Datalink (2007-15) primary care records linked to hospital episode statistics (...) and death records in England.157 264 adults aged 65 years or older presenting to a general practitioner with at least one diagnosis of suspected or confirmed lower UTI from November 2007 to May 2015.Bloodstream infection, hospital admission, and all cause mortality within 60 days after the index UTI diagnosis.Among 312 896 UTI episodes (157 264 unique patients), 7.2% (n=22 534) did not have a record of antibiotics being prescribed and 6.2% (n=19 292) showed a delay in antibiotic prescribing. 1539

2019 BMJ

3. UroShield for preventing catheter-associated urinary tract infections

externally. UroShield for preventing catheter-associated urinary tract infections (MIB191) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 8 of 11Potential patient impact Reduced blockages and catheter-associated urinary tract infections (CAUTIs), potentially resulting in better patient quality of life, less pain and discomfort, and fewer hospitalisations and acute settings visits for some people were identified (...) UroShield for preventing catheter-associated urinary tract infections UroShield for pre UroShield for prev venting catheter-associated enting catheter-associated urinary tr urinary tract infections act infections Medtech innovation briefing Published: 9 September 2019 www.nice.org.uk/guidance/mib191 pathways Sum Summary mary The technology technology described in this briefing is UroShield. It is used to prevent catheter-associated urinary tract infections (CAUTI) in people with long-term

2019 National Institute for Health and Clinical Excellence - Advice

4. Efficacy of Chinese herbal medicine in a case of geriatric urinary tract infections with pain of episiotomy scar inflammation. Full Text available with Trip Pro

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. Urinary tract infections in a geriatric sub-acute ward-health correlates and atypical presentations Full Text available with Trip Pro

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

2018 European Geriatric Medicine

6. Urinary tract infection (lower): antimicrobial prescribing

and young people under 16 oung people under 16 y years ears Antibiotic Antibiotic 1 1 Dosage and course length Dosage and course length 2 Children under 3 Children under 3 months months Refer to paediatric specialist and treat with intravenous antibiotics in line with the NICE guideline on fever in under 5s. Children aged 3 Children aged 3 months and o months and ov ver er First choice First choice 3,4 3,4 Urinary tract infection (lower): antimicrobial prescribing (NG109) © NICE 2019. All rights (...) with a longer duration of moderately bad symptoms (very low quality evidence). No systematic reviews or RCTs of back-up antibiotic prescribing strategies were identified in men, pregnant women, older people or children. Urinary tract infection (lower): antimicrobial prescribing (NG109) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 20 of 35Committee discussion on antibiotics Committee discussion on antibiotics

2018 National Institute for Health and Clinical Excellence - Clinical Guidelines

7. Urinary tract infection (recurrent): antimicrobial prescribing

of antibiotic prophylaxis 1.3.1 When prescribing antibiotic prophylaxis for recurrent UTI, take account of local antimicrobial resistance data and: follow the recommendations in table 1 for people aged 16 years and over follow the recommendations in table 2 for children and young people under 16 years. T T able able 1 P 1 People aged 16 eople aged 16 y years and o ears and ov ver er Antibiotic proph Antibiotic prophylaxis ylaxis 1,2 1,2 Dosage Dosage 3 3 First choice First choice Urinary tract infection (...) implications 32 Update information 33 Urinary tract infection (recurrent): antimicrobial prescribing (NG112) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 3 of 33This guideline should be read in conjunction with NG109, NG111 and CG54. Ov Overview erview This guideline sets out an antimicrobial prescribing strategy for preventing recurrent urinary tract infections in children, young people and adults who do not have

2018 National Institute for Health and Clinical Excellence - Clinical Guidelines

8. Diagnosis and Treatment of Urinary Tract Infections Across Age Groups. (Abstract)

Diagnosis and Treatment of Urinary Tract Infections Across Age Groups. Urinary tract infections are the most common outpatient infections, but predicting the probability of urinary tract infections through symptoms and test results can be complex. The most diagnostic symptoms of urinary tract infections include change in frequency, dysuria, urgency, and presence or absence of vaginal discharge, but urinary tract infections may present differently in older women. Dipstick urinalysis is popular (...) for its availability and usefulness, but results must be interpreted in context of the patient's pretest probability based on symptoms and characteristics. In patients with a high probability of urinary tract infection based on symptoms, negative dipstick urinalysis does not rule out urinary tract infection. Nitrites are likely more sensitive and specific than other dipstick components for urinary tract infection, particularly in the elderly. Positive dipstick testing is likely specific

2018 American Journal of Obstetrics and Gynecology

9. Is vaginal reflux associated with urinary tract infection in female children under the age of 36 months? Full Text available with Trip Pro

Is vaginal reflux associated with urinary tract infection in female children under the age of 36 months? To determine the relationship between vaginal reflux (VR) and urinary tract infection (UTI) in female children aged <36 months.A single center retrospective study was performed for 191 girls aged <36 months, with a diagnosis of febrile UTI, who underwent a voiding cystourethrography (VCUG) for assessment of vesicoureteral reflux (VUR) at Sanggye Paik Hospital. Fifty-one girls, who underwent (...) VCUG for assessment of congenital hydronephrosis or renal pelvis dilatation, without a UTI, formed the control group. The correlation between the presence and grade of VR and UTI was evaluated.The prevalence rate of VR was higher in the UTI (42.9%) than control (13.7%) group (P<0.05), with a higher VR severity grade in the UTI (mean, 0.64) than control (mean, 0.18) group (P<0.05). On subanalysis with age-matching (UTI group: n=126, age, 5.28±2.13 months; control group: n=22, age, 4.79±2.40 months

2018 Korean journal of pediatrics

10. Trimethoprim use for urinary tract infection and risk of adverse outcomes in older patients: cohort study. Full Text available with Trip Pro

Trimethoprim use for urinary tract infection and risk of adverse outcomes in older patients: cohort study. To determine if trimethoprim use for urinary tract infection (UTI) is associated with an increased risk of acute kidney injury, hyperkalaemia, or sudden death in the general population.Cohort study.UK electronic primary care records from practices contributing to the Clinical Practice Research Datalink linked to the Hospital Episode Statistics database.Adults aged 65 and over (...) with a prescription for trimethoprim, amoxicillin, cefalexin, ciprofloxacin, or nitrofurantoin prescribed up to three days after a primary care diagnosis of UTI between April 1997 and September 2015.The outcomes were acute kidney injury, hyperkalaemia, and death within 14 days of a UTI treated with antibiotics.Among a cohort of 1 191 905 patients aged 65 and over, 178 238 individuals were identified with at least one UTI treated with antibiotics, comprising a total of 422 514 episodes of UTIs treated

2018 BMJ

11. Fluoroquinolones for the Treatment of Urinary Tract Infection: A Review of Clinical Effectiveness, Cost-Effectiveness, and Guidelines

, levofloxacin, lomefloxacin, norfloxacin, rufloxacin, ofloxacin, flerofloxacin, sitafloxacin, and finafloxacin. There was considerable heterogeneity in study design, definition and classification of urinary tract infections (UTIs) among the included studies. In one randomized controlled trial, ceftazidime was more effective than ciprofloxacin in patients with acute obstructive pyelonephritis. However, ertapenem was significantly more effective than fluoroquinolones in complicated UTIs in one non-randomized (...) Fluoroquinolones for the Treatment of Urinary Tract Infection: A Review of Clinical Effectiveness, Cost-Effectiveness, and Guidelines Fluoroquinolones for the Treatment of Urinary Tract Infection: A Review of Clinical Effectiveness, Cost-Effectiveness, and Guidelines | CADTH.ca Find the information you need Fluoroquinolones for the Treatment of Urinary Tract Infection: A Review of Clinical Effectiveness, Cost-Effectiveness, and Guidelines Fluoroquinolones for the Treatment of Urinary Tract

2019 Canadian Agency for Drugs and Technologies in Health - Rapid Review

12. Recurrent Lower Urinary Tract Infections in Females

; 7,8,9 Usually appropriate *Relative Radiation Level ACR Appropriateness Criteria ® 2 Recurrent Lower UTIs in Women Clinical Condition: Recurrent Lower Urinary Tract Infections in Women Variant 2: “Complicated,” or patients who are nonresponders to conventional therapy, get frequent reinfections or relapses, and have known underlying risk factors. (See Appendix 1.) Radiologic Procedure Rating Comments RRL* CT abdomen and pelvis without and with IV contrast 7 CT urography protocol is preferred (...) ]. An uncomplicated UTI is classified as a UTI without structural or functional abnormalities of the urinary tract and without relevant comorbidities. Complicated UTIs are those occurring in patients with underlying structural or medical problems [3,4]. Recurrent lower UTIs are usually defined as at least 3 episodes of infection within the preceding 12 months [3]. Recurrent UTIs involve reinfection from a source outside of the urinary tract or from bacterial persistence [1,5]. Antibiotic prophylaxis is the most

2020 American College of Radiology

13. Risk factors for urinary tract infections in geriatric hospitals. (Abstract)

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

14. Urinalysis and urine culture specimens taken from old versus new urinary catheters in patients with suspected urinary tract infection

Urinalysis and urine culture specimens taken from old versus new urinary catheters in patients with suspected urinary tract infection Urinalysis and urine culture specimens taken from old versus new urinary catheters in patients with suspected urinary tract infection Urinalysis and urine culture specimens taken from old versus new urinary catheters in patients with suspected urinary tract infection Mitchell MD, O'Donnell JA, Pegues DA, Umscheid CA Record Status This is a bibliographic record (...) of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation Mitchell MD, O'Donnell JA, Pegues DA, Umscheid CA. Urinalysis and urine culture specimens taken from old versus new urinary catheters in patients with suspected urinary tract infection. Philadelphia: Center for Evidence-based Practice (CEP). 2014 Final publication URL Indexing Status Subject indexing assigned by CRD MeSH Humans; Urinalysis; Urinary Catheters; Urinary Tract

2014 Health Technology Assessment (HTA) Database.

15. Urinary Tract Infection in Geriatric Patients

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 (...) 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

2018 FP Notebook

16. 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

17. Urinary tract infection

UTI is a benign condition that usually resolves in a few days. Ascending infection can occur, leading to pyelonephritis, renal failure, and sepsis. In pregnant women (...) . Visible haematuria persists after infection has been successfully treated. Non-visible haematuria persists after infection has been successfully treated in a woman over 50 years of age. Visible or non-visible haematuria is associated with persistent or recurrent urinary tract infection in a woman aged 40 years or older (...) for: Søk Menu • • Systematic reviews on preventing catheter-associated urinary tract infection Søk i Folkehelsa.no Search for: Søk Infectious diseases & Vaccines Close Mental & Physical health Close Environment & Lifestyle Close Health in Norway Close (...) Quality and Knowledge Close More topics Close The number of patients in hospitals and rehabilitation institutions at any time is large, and a considerable number of them need to use a urinary catheter. Catheter-associated urinary tract infection may

2018 Trip Latest and Greatest

18. Treatment of Urinary Tract Infections in the Elderly

/50/5/625.full See: Prophylaxis with Systemic Antimicrobials, page 628. Review Articles 6. Mody L, Juthani-Mehta M. Urinary tract infections in older women: a clinical review. JAMA [Internet]. 2014 Feb 26 [cited 2015 Feb 2];311(8):844-54. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4194886 PubMed: PM24570248 7. Rowe TA, Juthani-Mehta M. Urinary tract infection in older adults. Aging Health [Internet]. 2013 Oct [cited 2015 Feb 2];9(5). Available from: http://www.ncbi.nlm.nih.gov/pmc (...) /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

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

19. Recurrent Uncomplicated Urinary Tract Infections in Women

factors for complicated UTI, as previously discussed, should also be elucidated. Patient history should document the symptoms the patient considers indicative of a UTI, the relationship of acute episode to infectious triggers (e.g. sexual intercourse), antimicrobials used for each episode, Copyright © 2019 American Urological Association Education and Research, Inc.® Recurrent Uncomplicated Urinary Tract Infection American Urological Association (AUA)/Canadian Urological Association (CUA)/ Society (...) 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

2019 American Urological Association

20. Clinical and Laboratory Profile of Urinary Tract Infections in Type 2 Diabetics Aged over 60 Years Full Text available with Trip Pro

Clinical and Laboratory Profile of Urinary Tract Infections in Type 2 Diabetics Aged over 60 Years Urinary tract infections are frequently encountered among diabetic patients and the incidence rate increases with age. There have been growing research to identify the clinical profile of urinary tract infections in diabetic patients. However, such studies on elderly patients are rare.To determine the risk factors, clinical/laboratory profiles, causative organisms and antimicrobial (...) susceptibilities in type 2 diabetics aged over 60 years.This prospective single centre study was conducted at NRI Medical College and General Hospital, Guntur, India, between November 2012 and November 2014. A total of 100 consecutive patients with type 2 diabetes mellitus, aged over 60 years, with symptoms suggestive of urinary tract infection were examined. Subsequently, the demographic characteristics, detailed medical history, signs/symptoms of urinary tract infections, laboratory investigations for blood

2017 Journal of clinical and diagnostic research : JCDR

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