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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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Professional Medical Publications
2018
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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. |
format | Online Article Text |
id | pubmed-5857032 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Professional Medical Publications |
record_format | MEDLINE/PubMed |
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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