Bacteriuria and urinary infections in the elderly

被引:25
作者
Childs, SJ [1 ]
Egan, RJ [1 ]
机构
[1] UNIV COLORADO, HLTH SCI CTR, DENVER, CO USA
关键词
D O I
10.1016/S0094-0143(05)70292-5
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Aging is associated with a decreased physiological functioning, reflecting the body's progressive inability to maintain homeostasis as age increases. The physiological dysfunctions experienced in response to the aging process increases the individual's susceptibility to infection. Indwelling catheters and other attending procedures may provide a microenvironment conducive to infection. Urinary infections in the elderly are more commonly asymptomatic; treatment for asymptomatic bacteriuria is not justified and will often present opportunities for the organism to acquire antimicrobial resistance. Antimicrobial selection for the treatment of complicating symptomatic urinary infections in elderly subjects is complicated by the many physiological and environmental conditions associated with older age patients.
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页码:43 / +
页数:1
相关论文
共 119 条
[1]   EPIDEMIOLOGY OF ASYMPTOMATIC BACTERIURIA IN ELDERLY WOMEN [J].
ABRUTYN, E ;
MOSSEY, J ;
LEVISON, M ;
BOSCIA, J ;
PITSAKIS, P ;
KAYE, D .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1991, 39 (04) :388-393
[2]   DOES ASYMPTOMATIC BACTERIURIA PREDICT MORTALITY AND DOES ANTIMICROBIAL TREATMENT REDUCE MORTALITY IN ELDERLY AMBULATORY WOMEN [J].
ABRUTYN, E ;
MOSSEY, J ;
BERLIN, JA ;
BOSCIA, J ;
LEVISON, M ;
PITSAKIS, P ;
KAYE, D .
ANNALS OF INTERNAL MEDICINE, 1994, 120 (10) :827-833
[3]  
AKHTAR A J, 1972, Age and Ageing, V1, P48, DOI 10.1093/ageing/1.1.48
[4]   SUPRAPUBIC VERSUS TRANS-URETHRAL BLADDER DRAINAGE AFTER COLPOSUSPENSION VAGINAL REPAIR [J].
ANDERSEN, JT ;
HEISTERBERG, L ;
HEBJORN, S ;
PETERSEN, K ;
SORENSEN, SS ;
FISCHERRASMUSSEN, W ;
PEDERSEN, LM ;
NIELSEN, NC .
ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA, 1985, 64 (02) :139-143
[5]  
ANDERSON RU, 1988, UROLOGY, V32, P31
[6]  
ANDERSON RU, 1986, UROL CLIN N AM, V13, P727
[7]  
[Anonymous], 1977, HDB BIOL AGING
[8]   REDUCTION OF BACTERIURIA AND PYURIA AFTER INGESTION OF CRANBERRY JUICE [J].
AVORN, J ;
MONANE, M ;
GURWITZ, JH ;
GLYNN, RJ ;
CHOODNOVSKIY, I ;
LIPSITZ, LA .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1994, 271 (10) :751-754
[9]  
Boscia J A, 1987, Infect Dis Clin North Am, V1, P893
[10]   LACK OF ASSOCIATION BETWEEN BACTERIURIA AND SYMPTOMS IN THE ELDERLY [J].
BOSCIA, JA ;
KOBASA, WD ;
ABRUTYN, E ;
LEVISON, ME ;
KAPLAN, AM ;
KAYE, D .
AMERICAN JOURNAL OF MEDICINE, 1986, 81 (06) :979-982