Urinary tract infection.
The incidence of bacteriuria increases in men and women with age. Its association with multiple geriatric disorders makes it difficult to determine its relevance in the absence of cause-related symptoms. A direct relationship to morbidity and mortality is debatable except in very specific patients. Confronted with symptoms, the clinician should treat and manage UTIs as in the younger patient with careful selection of an antimicrobial drug. Diagnosis can often be rapid and inexpensive. Further evaluation should be undertaken only in specific instances. Perinephric abscess is uncommon but seen in increasing incidence in older, especially female, patients. This disorder can more accurately be diagnosed with new techniques. Successful management with percutaneous procedures has reduced the need for higher risk open surgical procedures. Improved methods of diagnosis and treatment have decreased mortality in the past decade.
Department of Urology, Thomas Jefferson University Medical School, Philadelphia, Pennsylvania.
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SG
Mulholland
D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D012008:Recurrence; D014552:Urinary Tract Infections / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology*
D000900:Anti-Bacterial Agents