title: [Urinary tract infections in the elderly].
abstract: Acute infection of the urinary tract is one of the most commonly encountered bacterial infections in the frail elderly population and is responsible for substantial morbidity and recurrent infections with antibiotic resistance. Although generally considered to be self-limiting without treatment or easily treated with a short antibiotic regime, urinary tract infections (UTIs) often have a dramatic history, associated with incomplete resolution and frequent recurrence. The biological complexity of the infections combined with a dramatic rise in antibiotic-resistant pathogens highlight the need for an anticipating strategy for therapy necessary for a rapid recovery. The first crucial step is the classification in asymptomatic bacteriuria or complicated pyelonephritis, on which the decision for the intensity of treatment and diagnostic effort is based. For the selection of empiric antibiotic therapy, knowledge about the predominant uropathogens as well as local resistance patterns is important. In this manner, most urinary tract infections in the elderly can be treated without greater expense.
authors: Abteilung Geriatrie und Frührehabilitation, HELIOS Hanseklinikum Stralsund, Große Parower Straße 47-54, 18437, Stralsund, Deutschland. klaus.becher@helios-kliniken.de.
authors: Klaus Friedrich
authors: KF
authors: Becher
authors: Abteilung für Klinische Hygiene und Infektiologie, HELIOS Hanseklinikum Stralsund, Große Parower Straße 47-54, 18437, Stralsund, Deutschland.
authors: Ingo
authors: I
authors: Klempien
authors: Urologische Abteilung, Lehrstuhl für Geriatrie, Evangelisches Krankenhaus im Diakoniewerk Ruhr, Universität Witten, Pferdebachstr. 27-43, 58455, Witten, Deutschland.
authors: Andreas
authors: A
authors: Wiedemann
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D001424:Bacterial Infections / Q000175:diagnosis* / Q000188:drug therapy* / Q000382:microbiology; D055499:Catheter-Related Infections / Q000175:diagnosis* / Q000188:drug therapy* / Q000382:microbiology; D019317:Evidence-Based Medicine; D005260:Female; D006801:Humans; D008297:Male; D063189:Symptom Assessment; D016896:Treatment Outcome; D062885:Urinary Catheters / Q000009:adverse effects; D014552:Urinary Tract Infections / Q000175:diagnosis* / Q000188:drug therapy* / Q000382:microbiology
chemical_list: D000900:Anti-Bacterial Agents
keywords: Aged; Antibiotics; Catheters, indwelling; Delirium; Urinary tract infections