title: Bacteruria and Urinary Tract Infections in the Elderly.
abstract: Both urinary tract infection (UTI) and asymptomatic bacteriuria (ASB) are common problems among elderly adults and represent a significant health care burden. Despite their frequency, differentiating between ASB and true UTI remains controversial among health care providers. Several challenges exist in the evaluation of urinary symptoms in the elderly patient. Symptoms of UTI are variable; problems are encountered in the collection, testing, and interpretation of urine specimens; and results of urinalysis are often misinterpreted and mishandled. Multiple studies have shown no morbidity or mortality benefit to antibiotic therapy in either community or long-term care facility residents with ASB.
authors.affiliation: Touro University College of Osteopathic Medicine - California, 1310 Club Drive, Vallejo, CA 94592, USA.
authors.forename: Keri
authors.initials: K
authors.lastname: Detweiler
authors.affiliation: Touro University College of Osteopathic Medicine - California, 1310 Club Drive, Vallejo, CA 94592, USA.
authors.forename: Daniel
authors.initials: D
authors.lastname: Mayers
authors.affiliation: Kaiser Permanente Northern California, 401 Bicentennial Way, Santa Rosa, CA 95403, USA. Electronic address: sophiegfletcher@gmail.com.
authors.forename: Sophie G
authors.initials: SG
authors.lastname: Fletcher
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000009:adverse effects / Q000627:therapeutic use*; D058345:Asymptomatic Infections / Q000453:epidemiology / Q000628:therapy*; D001437:Bacteriuria / Q000175:diagnosis* / Q000188:drug therapy* / Q000453:epidemiology / Q000382:microbiology / Q000517:prevention & control; D002408:Catheters, Indwelling / Q000009:adverse effects; D020878:Device Removal; D006707:Homes for the Aged; D006801:Humans; D057187:Independent Living; D007326:Institutionalization; D017410:Practice Guidelines as Topic; D012307:Risk Factors; D062885:Urinary Catheters / Q000009:adverse effects; D014552:Urinary Tract Infections / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology / Q000382:microbiology / Q000517:prevention & control
chemical_list: D000900:Anti-Bacterial Agents
keywords: Asymptomatic bacteriuria; Bacteriuria; Cystitis; Pyuria; Urinary tract infection