老年人无症状菌尿和尿路感染

Asymptomatic bacteriuria and urinary tract infection in older adults.

作者信息

Juthani-Mehta Manisha

机构信息

Yale University School of Medicine, Department of Internal Medicine, Section of Infectious Disease, LMP 5040A, P.O. Box 208022, New Haven, CT 06520, USA.

出版信息

Clin Geriatr Med. 2007 Aug;23(3):585-94, vii. doi: 10.1016/j.cger.2007.03.001.

DOI:10.1016/j.cger.2007.03.001

PMID:17631235

Abstract

Asymptomatic bacteriuria (ASB) and urinary tract infection (UTI) are common in older community dwellers (ages 65 and older) and nursing home residents. The challenge involved in distinguishing ASB from UTI in this population results from other comorbid illnesses that may present with symptoms similar to UTI and from elderly adults who have cognitive impairment not being able to report their symptoms. This article reviews the most updated information on diagnosis, microbiology, management, and prevention of ASB and UTI as they pertain to older community dwellers and nursing home residents.

摘要

无症状菌尿（ASB）和尿路感染（UTI）在老年社区居民（65岁及以上）和疗养院居民中很常见。在这一人群中区分ASB和UTI所面临的挑战，源于可能出现与UTI相似症状的其他合并症，以及患有认知障碍而无法报告症状的老年人。本文综述了与老年社区居民和疗养院居民相关的ASB和UTI在诊断、微生物学、管理和预防方面的最新信息。