Urinary tract infections. How to manage nursing home patients with or without chronic catheterization.
Urinary tract infections (UTIs)--including cystitis, pyelonephritis, and catheter-associated infections--are among the most common nursing home-acquired infections. Asymptomatic bacteriuria can be identified in 20 to 50% of nursing home residents who do not have bladder catheters and in 100% of those who do. Diagnostic tests for nursing home patients with suspected UTI include urinalysis, urine culture, and sensitivity testing. Treatment of cystitis can usually be managed in the nursing home with oral antibiotics. Initial therapy with a parenteral agent is often recommended in nursing home-acquired pyelonephritis.
O'Donnell
Judith A
JA
Department of Medicine, Division of Infectious Diseases, MCP Hahnemann School of Medicine and University, Medical College of Pennsylvania Hospital, Philadelphia, Pennsylvania, USA.
Hofmann
Mary T
MT
D000368:Aged; D000375:Aging / Q000502:physiology; D000892:Anti-Infective Agents, Urinary / Q000627:therapeutic use; D003428:Cross Infection / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology / Q000209:etiology; D006707:Homes for the Aged; D006801:Humans; D009735:Nursing Homes; D015995:Prevalence; D014546:Urinary Catheterization / Q000009:adverse effects; D014552:Urinary Tract Infections / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology / Q000209:etiology; D014553:Urinary Tract Physiological Phenomena
D000892:Anti-Infective Agents, Urinary