title: Diagnosing and treating urinary tract infections in older people.
abstract: Even though diagnosing and treating urinary tract infections (UTIs) in older people can be difficult, it is essential to prevent reduction in the patients' wellbeing. Near-patient testing can be useful, but guidelines on this discuss the use of urine dipstick testing and laboratory culture in some detail. In addition, there are significant differences in the management of males and females, those with recurrent infections, and those with catheters. Community nurses are well placed to assess and manage this common condition, implementing correct treatment and resolution, owing to the close relationships they cultivate with service users. This article discusses the diagnosis and management of UTIs in older people, highlighting the differentials and red flags that need to be addressed urgently.
authors.affiliation: Senior Lecturer and Practitioner in Primary Care; Faculty of Health, Social Care and Education; St George's University of London and Kingston University.
authors.forename: Kirsty
authors.initials: K
authors.lastname: Armstrong
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D055499:Catheter-Related Infections / Q000175:diagnosis* / Q000188:drug therapy* / Q000517:prevention & control; D005260:Female; D005851:Geriatric Nursing / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017410:Practice Guidelines as Topic; D012307:Risk Factors; D014552:Urinary Tract Infections / Q000175:diagnosis* / Q000188:drug therapy* / Q000451:nursing / Q000517:prevention & control
chemical_list: D000900:Anti-Bacterial Agents
keywords: Delirium; Low back pain; Older people; Prophylaxis; Urinary tract infection