Frimodt-Møller Niels
Klinisk Mikrobiologisk Afdeling, Hvidovre Hospital, Kettegård Alle 30, 2650 Hvidovre.
Ugeskr Laeger. 2013 Nov 18;175(47):2868-9.
Urinary tract infection is common in the elderly, and the prevalence increases with age due to pathological changes in the urinary tract and common use of bladder catheter. The increasing incidence of asymptomatic bacteriuria, together with fewer classical dysuria symptoms complicates the diagnosis in the elderly. There is also an increasing prevalence of complicated urinary tract infection including septicaemia. Due to an increase in antibiotic resistance urine culture should precede the choice of antibiotic treatment. Treatment duration is seven days; 14 days in patients with pyelonephritis. Adverse effects are notably higher in the elderly.
尿路感染在老年人中很常见，由于尿路的病理变化和膀胱导管的普遍使用，其患病率随年龄增长而增加。无症状菌尿症发病率的上升，加上典型排尿困难症状较少，使老年人的诊断变得复杂。包括败血症在内的复杂性尿路感染的患病率也在上升。由于抗生素耐药性增加，在选择抗生素治疗之前应先进行尿培养。治疗疗程为七天；肾盂肾炎患者为14天。老年人的不良反应明显更高。
