The prevalence of urinary-tract infection (UTI) is high among the elderly, particularly among those who are infirm or institutionalized in long-stay wards. This article attempts to assess the risk-benefit ratio of treating UTI in the elderly and addresses specifically questions relating to the accuracy of diagnosis of UTI, sufficient evidence of morbidity to justify treatment, characteristics of the elderly that alter safety/effectiveness of treatment and the aims and economic implications of any treatment. The management of elderly patients with asymptomatic bacteriuria, with lower UTI or with pyelonephritis is discussed and recommendations for appropriate treatment are made.
ASJC Scopus subject areas
- Microbiology (medical)