Urinary Tract Infections in Older Adults Residing in Long-Term Care Facilities.


Journal Article

Urinary tract infections (UTIs) are commonly suspected in residents of long-term care (LTC) facilities, and it has been common practice to prescribe antibiotics to these patients, even when they are asymptomatic. This approach, however, often does more harm than good, leading to increased rates of adverse drug effects and more recurrent infections with drug-resistant bacteria. It also does not improve genitourinary symptoms (eg, polyuria or malodorous urine) or lead to improved mortality rates; thus, distinguishing UTIs from asymptomatic bacteriuria is imperative in the LTC setting. This article provides a comprehensive overview of UTI in the LTC setting, outlining the epidemiology, risk factors and pathophysiology, microbiology, diagnosis, laboratory assessment, and management of symptomatic UTI.

Full Text

Duke Authors

Cited Authors

  • Genao, L; Buhr, GT

Published Date

  • April 2012

Published In

Volume / Issue

  • 20 / 4

Start / End Page

  • 33 - 38

PubMed ID

  • 23418402

Pubmed Central ID

  • 23418402

International Standard Serial Number (ISSN)

  • 1524-7929


  • eng

Conference Location

  • United States