Urinary infections in the elderly

The typical settings in which UTIs occur in the elderly are in the frail, those who are immobilised, and those with faecal incontinence and inadequate bladder emptying. The presenting symptoms may be atypical, especially with upper UTI where fever of undetermined origin and behaviour disturbances may be a feature. In men obstructive uropathy from prostatism should be excluded by ultrasound. Uncomplicated infections should be treated the same way as for other age groups but no antimicrobial treatment is recommended for asymptomatic bacteriuria.

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