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Urinary tract infections in the geriatric patients

OBJECTIVE: Urinary tract infections (UTI) are the second most common infection in geriatric population. This study investigated clinical findings, diagnostic approaches, complicating factors, prognosis, causative microorganisms and antimicrobial susceptibility in geriatric patients diagnosed with UT...

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Autores principales: Alpay, Yesim, Aykin, Nevil, Korkmaz, Pinar, Gulduren, Hakki Mustafa, Caglan, Figen Cevik
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Professional Medical Publications 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5857032/
https://www.ncbi.nlm.nih.gov/pubmed/29643881
http://dx.doi.org/10.12669/pjms.341.14013
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author Alpay, Yesim
Aykin, Nevil
Korkmaz, Pinar
Gulduren, Hakki Mustafa
Caglan, Figen Cevik
author_facet Alpay, Yesim
Aykin, Nevil
Korkmaz, Pinar
Gulduren, Hakki Mustafa
Caglan, Figen Cevik
author_sort Alpay, Yesim
collection PubMed
description OBJECTIVE: Urinary tract infections (UTI) are the second most common infection in geriatric population. This study investigated clinical findings, diagnostic approaches, complicating factors, prognosis, causative microorganisms and antimicrobial susceptibility in geriatric patients diagnosed with UTI. METHODS: A total of 140 hospitalised patients with UTIs were evaluated within three years between January 2011-January 2015 at the Eskisehir Yunus Emre State Hospital. UTI diagnosed when there were systemic and urinary signs and symptoms and a positive dipstick test and urine culture result, leukocyte and CRP like serum parameters. RESULTS: Among the studied patients, 41.4% had urological diseases, 20.7% had diabetes mellitus and 19.2% had neurological diseases. The most common symptoms and signs were fever, dysuria nausea/vomiting, general condition impairment, pyuria, haematuria. The laboratory values for CRP, ESR and leukocyte count were 84 mg/dL, 56 mm/s and 11.9 (10^3μL), with mean values being determined. Among patients having a urinary catheter (17.1%), 27.9% had a history of UTI, while 29.3% had been hospitalised. Escherichia coli and Klebsiella pneumoniae were the most commonly identified microorganisms. The mean duration for hospitalisation was 7.6 days, while a 5% mortality rate was observed over the course of the disease. CONCLUSION: Because of the potential for serious complications and mortality, elderly patients with urinary tract infection, should receive immediate empirical treatment based on anamnesis, clinical evaluation and urinalysis and should be re-examined using results from cultures and antibiograms upon follow-up.
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spelling pubmed-58570322018-04-11 Urinary tract infections in the geriatric patients Alpay, Yesim Aykin, Nevil Korkmaz, Pinar Gulduren, Hakki Mustafa Caglan, Figen Cevik Pak J Med Sci Original Article OBJECTIVE: Urinary tract infections (UTI) are the second most common infection in geriatric population. This study investigated clinical findings, diagnostic approaches, complicating factors, prognosis, causative microorganisms and antimicrobial susceptibility in geriatric patients diagnosed with UTI. METHODS: A total of 140 hospitalised patients with UTIs were evaluated within three years between January 2011-January 2015 at the Eskisehir Yunus Emre State Hospital. UTI diagnosed when there were systemic and urinary signs and symptoms and a positive dipstick test and urine culture result, leukocyte and CRP like serum parameters. RESULTS: Among the studied patients, 41.4% had urological diseases, 20.7% had diabetes mellitus and 19.2% had neurological diseases. The most common symptoms and signs were fever, dysuria nausea/vomiting, general condition impairment, pyuria, haematuria. The laboratory values for CRP, ESR and leukocyte count were 84 mg/dL, 56 mm/s and 11.9 (10^3μL), with mean values being determined. Among patients having a urinary catheter (17.1%), 27.9% had a history of UTI, while 29.3% had been hospitalised. Escherichia coli and Klebsiella pneumoniae were the most commonly identified microorganisms. The mean duration for hospitalisation was 7.6 days, while a 5% mortality rate was observed over the course of the disease. CONCLUSION: Because of the potential for serious complications and mortality, elderly patients with urinary tract infection, should receive immediate empirical treatment based on anamnesis, clinical evaluation and urinalysis and should be re-examined using results from cultures and antibiograms upon follow-up. Professional Medical Publications 2018 /pmc/articles/PMC5857032/ /pubmed/29643881 http://dx.doi.org/10.12669/pjms.341.14013 Text en Copyright: © Pakistan Journal of Medical Sciences http://creativecommons.org/licenses/by/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Alpay, Yesim
Aykin, Nevil
Korkmaz, Pinar
Gulduren, Hakki Mustafa
Caglan, Figen Cevik
Urinary tract infections in the geriatric patients
title Urinary tract infections in the geriatric patients
title_full Urinary tract infections in the geriatric patients
title_fullStr Urinary tract infections in the geriatric patients
title_full_unstemmed Urinary tract infections in the geriatric patients
title_short Urinary tract infections in the geriatric patients
title_sort urinary tract infections in the geriatric patients
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5857032/
https://www.ncbi.nlm.nih.gov/pubmed/29643881
http://dx.doi.org/10.12669/pjms.341.14013
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