J Korean Med Assoc.  2017 Jul;60(7):550-554. 10.5124/jkma.2017.60.7.550.

Management of urinary tract infection in geriatric hospital patients

• Kim HW
• Kim JB
• Chang YS

• KMID: 2386595
• DOI: http://doi.org/10.5124/jkma.2017.60.7.550

Abstract

As the elderly population increases, so does the prevalence of urinary tract infections in the elderly population in long-term care facilities and the associated medical costs. Screening tests and treatment for asymptomatic bacteriuria in elderly residents in the community or in long-term care facilities are not recommended. However, febrile urinary tract infections should be treated with proper antibiotics. Patients who have risk factors for urinary tract infections require prompt therapy. Catheter-associated bacteriuria is the most common hospital-acquired infection. The most important risk factor associated with an increased likelihood of developing catheter-associated bacteriuria is the duration of catheterization. Long-term catheter indwelling should be avoided, and it is necessary to reduce unnecessary catheter insertion. Most patients are asymptomatic, and they do not require treatment. Symptomatic catheter-associated infections should be treated. The best strategy for reducing catheter-associated infections involves careful aseptic insertion of the catheter and maintenance of a closed dependent drainage system. Steps must be taken to reduce urinary tract infections and urinary catheter-related infections in light of the increasing elderly population.

Keyword

Urinary tract infections; Geriatrics; Catheter-related infections

MeSH Terms

Aged
Anti-Bacterial Agents
Bacteriuria
Catheter-Related Infections
Catheterization
Catheters
Drainage
Geriatrics
Humans
Long-Term Care
Mass Screening
Prevalence
Risk Factors
Urinary Tract Infections*
Urinary Tract*
Anti-Bacterial Agents

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