Volume : IV, Issue : IV, April - 2014

Urinary Tract Infection (UTI) In The Elderly – A Clinical and Microbiological Study

Dr Im Rejitha, Dr G Sucilathangam, Dr G Velvizhi

Abstract :

 Urinary tract infection (UTI) is the second most common infectious complaint in geriatric clinics overall. The presentation of UTI in elderly patients may differ significantly from that in younger ones. The elderly patients are also more likely to have asymptomatic bacteriuria as they get older. The aim of this study was to find out the common presenting symptoms and risk factors associated with UTI in the elderly and to find the distribution of isolated uropathogens and their antibiotic susceptibility pattern. A total sample size of 100 elderly patients aged 65 years and above with symptoms of UTI was included in this cross sectional study. A clean catch midstream specimen or catheterised urine specimen was collected. A dipstick was used to test for the presence of nitrites and leucocytes. Gram staining and urine culture and sensitivity was done. ESBL producers were detected by screening and phenotypic confirmatory methods and also by E test. Of the 100 samples, 28 were culture positive and 72 were negative. Klebsiella species was the predominant isolate in this study (12 isolates) followed by E.coli (4) and Proteus mirabilis (4). ESBL–positive organisms accounted for 84.6% of the total infection. Urinary tract infections present a significant problem in the elderly. Clinical presentation plays a minor role in establishing diagnosis in UTI. Diabetes and urogenital instrumentation were the major risk factors for UTI

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr IM Rejitha, Dr G Sucilathangam, Dr G Velvizhi Urinary tract infection (UTI) in the elderly - A clinical and microbiological study Indian Journal of Applied Research, Vol.IV, Issue. IV

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