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UTI: a new approach to its diagnosis.

The incidence of urinary tract infection in our community is studied taking into consideration the indiscriminate and inappropriate use of antimicrobial agents and describing a simple method which could be adopted to evaluate samples of urine for the presence of antimicrobial agents. It reveals that 42.9% individuals were actually on antimicrobial agents and had sufficient levels in their urine to inhibit growth of the most common causative agent of urinary tract infection.

Anti-Bacterial Agents↗

UTI: a practical approach to management.

Most patients with cystitis can be managed without investigation. There is no evidence that recurrent infection in women leads to a rise in blood pressure, serum urea concentration or kidney scarring. However, children require an entirely different approach because of the risk of renal scarring.

Adult↗

Pneumonia, UTI, and decubiti in the nursing home: optimal management.

Infections in the nursing home population will increase in importance with the predicted rapid growth of the number of persons age 85 and older in the US. The nursing home population is frail, debilitated, and at high risk for morbidity and mortality due to infections. Coupled with limitations in diagnostic interventions in this population, empiric antibiotic therapy is an important aspect of this management. Pneumonia, catheter-related urinary tract infection, and infected pressure sores comprise the major infections in nursing home patients. This review focuses on the management of these infections.

Aged↗

Practical management of catheter-associated UTIs.

In the long-term catheterized elderly, damage to the epithelial wall is primarily responsible for bladder infections, due to the presence of the catheter as a foreign body and its frequent manipulations. The presence of bacteriuria, a classic sign of infection in the non-catheterized patient, is of little diagnostic importance in the long-term catheterized patient, since it is both permanent and inevitable. Routine preventive measures--eg, frequent catheter changes, prophylactic antibiotics--are of no value. Other measures are worth considering and, if instituted, will reduce the frequency of severe complications from long-term catheterization and improve quality of life.

Aged↗

The 'I' in UTI.

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Humans↗