Department of Internal Medicine, Health Sciences Centre, University of Manitoba, Room GG443, 820 Sherbrook Street, Winnipeg, Manitoba, R3A 1R9, Canada.
Clin Geriatr Med. 2009 Aug;25(3):423-36. doi: 10.1016/j.cger.2009.04.005.
Urinary infection is the most common infection in elderly populations. There is a high prevalence of asymptomatic bacteriuria, but this is benign and does not require treatment. A urine specimen for culture should be obtained before initiating antimicrobial therapy for symptomatic infection. Antimicrobial treatment regimens in the elderly are similar to other populations. Chronic indwelling catheters are associated with increased morbidity from urinary tract infection.
尿路感染是老年人群中最常见的感染。无症状菌尿症的患病率很高,但这种情况是良性的,不需要治疗。对于有症状的感染,在开始抗菌治疗之前,应获取尿液标本进行培养。老年人的抗菌治疗方案与其他人群相似。慢性留置导尿管与尿路感染发病率增加有关。