Urinary tract infection in postmenopausal women

被引:23
作者
Betsy Foxman
机构
[1] Department of Epidemiology,University of Michigan School of Public Health
关键词
Postmenopausal Woman; Urinary Tract Infection; Bacteriuria; Flank Pain; Recurrent Urinary Tract Infection;
D O I
10.1007/s11908-999-0043-1
中图分类号
学科分类号
摘要
Urinary tract infection (UTI) is common in postmenopausal women; the estimated incidence ranges from 4% to 15%. The clinical presentation of UTI is somewhat different in postmenopausal older women than it is in younger women: postmenopausal women are less likely to report frequency, dysuria, hematuria, and fever, but are more likely to report flank pain. Other than UTI history, risk factors for symptomatic UTI among postmenopausal women are poorly described. Hormonal replacement therapy minimizes physiologic changes associated with menopause that lead to genitourinary symptoms and, potentially, to UTI, but whether this therapy is appropriate for the prevention of recurrent UTI in postmenopausal women is uncertain.
引用
收藏
页码:367 / 370
页数:3
相关论文
共 69 条
  • [1] Evans DA(1978)Bacteriuria in a population-based cohort of women J Infect Dis 138 768-773
  • [2] Williams DN(1968)An epidemiologic study of bacteriuria and blood pressure among nuns and working women N Engl J Med 278 635-642
  • [3] Laughlin LW(1985)An epidemiological survey of urinary tract infections among outpatients in northern Norway Scand J Infect Dis 17 277-283
  • [4] Kunin CM(1991)Factors associated with regular episodes of dysuria among women in one rural general practice Br J Gen Pract 41 241-243
  • [5] McCormack RC(1984)Prevalence of genito-urinary symptoms in the late menopause Acta Obstet Gynecol Scand 63 257-260
  • [6] Vorland LH(1996)Prevalence of genitourinary and other climacteric symptoms in 61-year-old women Maturitas 24 31-36
  • [7] Carlson K(1990)Health behavior and urinary tract infection J Clin Epidemiol 43 329-337
  • [8] Aalen O(1993)Urinary incontinence and related urogenital symptoms in elderly women Acta Obstet Gynecol Scand S158 5-22
  • [9] Jolleys JV(1998)Urinary incontinence and urinary tract infections in octogenarian women Acta Obstet Gynecol Scand 77 105-109
  • [10] Iosif CS(1989)Association of the Lewis blood-group phenotype with recurrent urinary tract infections in women N Engl J Med 320 773-777