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Review
. 2024 Nov;51(4):585-594.
doi: 10.1016/j.ucl.2024.07.002. Epub 2024 Aug 7.

Management of Bacteriuria and Urinary Tract Infections in the Older Adult

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Review

Management of Bacteriuria and Urinary Tract Infections in the Older Adult

Juan Teran Plasencia et al. Urol Clin North Am. 2024 Nov.

Abstract

Urinary tract infection (UTI) is one of the most frequent bacterial infections diagnosed in older adults and the most common reason for antibiotic prescriptions in nursing homes. Distinguishing between asymptomatic bacteriuria and UTI in older adults can be challenging and implementing a systematic approach to diagnosis using standard toolkits or algorithms is recommended for patients residing in post-acute and long-term care settings. This article reviews the pathophysiology, microbiology, diagnostic approach, treatment, and approaches to prophylaxis in the older adult.

Keywords: Bacteriuria; Elderly; Older adult; Urinary tract infection.

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Conflict of interest statement

Disclosures J. Teran Plasencia has no disclosures to report. M.S. Ashraf has received support from Merck & Co., Inc, United States for a research project focused on studying the impact of training consultant pharmacists to promote antimicrobial stewardship in long-term care facilities. No conflict of interest for writing or reviewing this article.

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