Urinary tract infections in older adults.

Upper and lower urinary tract infections are common and frequently recurring problems encountered by clinicians who manage the health care of older adults. Due to the multiplicity of diseases in this population, it is sometimes difficult to identify symptoms and diagnose urinary tract infections. Evaluating the presenting symptoms, collecting specimens and interpreting laboratory data can present a challenge. Identifying clients at risk, knowing the client's prior health status, recognizing the symptoms and maintaining updated knowledge of antibiotic therapy remain essential care components. This article reviews the current literature on urinary tract infections and provides guidelines for the treatment of urinary tract infections in the older adult.