Asymptomatic bacteriuria in the elderly

被引:187
作者
Nicolle, LE [1 ]
机构
[1] UNIV MANITOBA, ST BONIFACE HOSP, HLTH SCI CTR, DEPT INTERNAL MED, WINNIPEG, MB, CANADA
关键词
D O I
10.1016/S0891-5520(05)70378-0
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Asymptomatic urinary infection is frequent in elderly populations. Morbidity attributable to asymptomatic bacteriuria is limited, and no long-term adverse outcomes have been identified. Antimicrobial treatment is not indicated because it does not alter the outcome, but it will promote the emergence of resistant organisms. Differentiating symptomatic from asymptomatic infection in the bacteriuric, highly impaired, institutionalized elderly resident remains a clinical dilemma.
引用
收藏
页码:647 / +
页数:1
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共 76 条
[51]   URINARY-TRACT INFECTIONS AND ESTROGEN USE IN OLDER WOMEN [J].
ORLANDER, JD ;
JICK, SS ;
DEAN, AD ;
JICK, H .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1992, 40 (08) :817-820
[52]   Febrile urinary infection in the institutionalized elderly [J].
Orr, PH ;
Nicolle, LE ;
Duckworth, H ;
Brunka, J ;
Kennedy, J ;
Murray, D ;
Harding, GK .
AMERICAN JOURNAL OF MEDICINE, 1996, 100 (01) :71-77
[53]   AN ACCURATE METHOD TO OBTAIN URINE FOR CULTURE IN MEN WITH EXTERNAL CATHETERS [J].
OUSLANDER, JG ;
GREENGOLD, BA ;
SILVERBLATT, FJ ;
GARCIA, JP .
ARCHIVES OF INTERNAL MEDICINE, 1987, 147 (02) :286-288
[54]   DOES ERADICATING BACTERIURIA AFFECT THE SEVERITY OF CHRONIC URINARY-INCONTINENCE IN NURSING-HOME RESIDENTS [J].
OUSLANDER, JG ;
SCHAPIRA, M ;
SCHNELLE, JF ;
UMAN, G ;
FINGOLD, S ;
TUICO, E ;
NIGAM, JG .
ANNALS OF INTERNAL MEDICINE, 1995, 122 (10) :749-754
[55]   EXTERNAL CATHETER USE AND URINARY-TRACT INFECTIONS AMONG INCONTINENT MALE NURSING-HOME PATIENTS [J].
OUSLANDER, JG ;
GREENGOLD, B ;
CHEN, S .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1987, 35 (12) :1063-1070
[56]   URINE SPECIMEN COLLECTION FROM INCONTINENT FEMALE NURSING-HOME RESIDENTS [J].
OUSLANDER, JG ;
SCHAPIRA, M ;
SCHNELLE, JF .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1995, 43 (03) :279-281
[57]   ACCURACY OF RAPID URINE SCREENING-TESTS AMONG INCONTINENT NURSING-HOME RESIDENTS WITH ASYMPTOMATIC BACTERIURIA [J].
OUSLANDER, JG ;
SCHAPIRA, M ;
FINGOLD, S ;
SCHNELLE, J .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1995, 43 (07) :772-775
[58]   THE APPROPRIATENESS OF ORAL FLUOROQUINOLONE-PRESCRIBING IN THE LONG-TERM-CARE SETTING [J].
PICKERING, TD ;
GURWITZ, JH ;
ZALEZNIK, D ;
NOONAN, JP ;
AVORN, J .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1994, 42 (01) :28-32
[59]   ANTECEDENT FACTORS IN URINARY-TRACT INFECTIONS AMONG NURSING-HOME PATIENTS [J].
POWERS, JS ;
BILLINGS, FT ;
BEHRENDT, D ;
BURGER, MC .
SOUTHERN MEDICAL JOURNAL, 1988, 81 (06) :734-735
[60]   PREVENTION OF RECURRENT URINARY-TRACT INFECTIONS IN POSTMENOPAUSAL WOMEN [J].
PRIVETTE, M ;
CADE, R ;
PETERSON, J ;
MARS, D .
NEPHRON, 1988, 50 (01) :24-27