Management of urinary tract infection in geriatric hospital patients.
10.5124/jkma.2017.60.7.550
- Author:
Hong Wook KIM
1
;
Jin Bum KIM
;
Young Seop CHANG
Author Information
1. Department of Urology, Konyang University Hospital, Konyang University College of Medicine, Daejeon, Korea. urolapa@kyuh.ac.kr
- Publication Type:Original Article
- Keywords:
Urinary tract infections;
Geriatrics;
Catheter-related infections
- MeSH:
Aged;
Anti-Bacterial Agents;
Bacteriuria;
Catheter-Related Infections;
Catheterization;
Catheters;
Drainage;
Geriatrics;
Humans;
Long-Term Care;
Mass Screening;
Prevalence;
Risk Factors;
Urinary Tract Infections*;
Urinary Tract*
- From:Journal of the Korean Medical Association
2017;60(7):550-554
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
As the elderly population increases, so does the prevalence of urinary tract infections in the elderly population in long-term care facilities and the associated medical costs. Screening tests and treatment for asymptomatic bacteriuria in elderly residents in the community or in long-term care facilities are not recommended. However, febrile urinary tract infections should be treated with proper antibiotics. Patients who have risk factors for urinary tract infections require prompt therapy. Catheter-associated bacteriuria is the most common hospital-acquired infection. The most important risk factor associated with an increased likelihood of developing catheter-associated bacteriuria is the duration of catheterization. Long-term catheter indwelling should be avoided, and it is necessary to reduce unnecessary catheter insertion. Most patients are asymptomatic, and they do not require treatment. Symptomatic catheter-associated infections should be treated. The best strategy for reducing catheter-associated infections involves careful aseptic insertion of the catheter and maintenance of a closed dependent drainage system. Steps must be taken to reduce urinary tract infections and urinary catheter-related infections in light of the increasing elderly population.
