Wood C A, Abrutyn E
Division of Infectious Diseases, Allegheny University of the Health Sciences, Philadelphia, Pennsylvania 19102, USA.
Clin Geriatr Med. 1998 May;14(2):267-83.
Urinary tract infection is common among older adults, although most individuals are asymptomatic. The prevalence of bacteriuria varies significantly with living situation and functional status. Asymptomatic bacteriuria is a benign condition and is not an independent risk factor for mortality in older adults. Treatment of asymptomatic bacteriuria generally is not indicated, but symptomatic urinary tract infection of the lower or upper tract dictates antibiotic therapy.
尿路感染在老年人中很常见,尽管大多数人没有症状。菌尿症的患病率因生活状况和功能状态而异。无症状菌尿是一种良性情况,并非老年人死亡的独立危险因素。一般不建议对无症状菌尿进行治疗,但下尿路或上尿路的有症状尿路感染则需要抗生素治疗。