title: The management of urinary tract infections in octogenarian women.
abstract: Urinary Tract Infections are common in women of all ages and the incidence increases with age. Whilst they are a common cause of lower urinary tract symptoms in all women they may be associated with increased morbidity in the elderly. Appropriate investigation and treatment in primary and secondary care are essential to effectively manage urinary tract infection and decrease morbidity and hospitalisation rates. Loss of endogenous oestrogen at the time of the menopause is associated with the urogenital atrophy and an increased incidence of urinary tract infection. Consequently vaginal oestrogen therapy may offer a rationale for treatment and prevent of urinary tract infection. The aim of this paper is to review the clinical management of elderly women presenting with primary and recurrent urinary tract infection.
authors.affiliation: Department of Urogynaecology, Kings College Hospital, Suite 8, 3rd Floor, Golden Jubilee, London SE5 9RS, United Kingdom. Electronic address: dudley.robinson@nhs.net.
authors.forename: Dudley
authors.initials: D
authors.lastname: Robinson
authors.affiliation: Department of Urogynaecology, Kings College Hospital, Suite 8, 3rd Floor, Golden Jubilee, London SE5 9RS, United Kingdom.
authors.forename: Ilias
authors.initials: I
authors.lastname: Giarenis
authors.affiliation: Department of Urogynaecology, Kings College Hospital, Suite 8, 3rd Floor, Golden Jubilee, London SE5 9RS, United Kingdom.
authors.forename: Linda
authors.initials: L
authors.lastname: Cardozo
mesh_terms: D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D004967:Estrogens / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D012008:Recurrence; D014552:Urinary Tract Infections / Q000175:diagnosis / Q000188:drug therapy* / Q000517:prevention & control*
chemical_list: D000900:Anti-Bacterial Agents; D004967:Estrogens
keywords: Investigation; Oestrogen; Urinary tract infection; Urogenital atrophy