URINARY TRACT INFECTIONS(UTI) AND THE ELDERLY

More than 4 million doctor office visits per year in the United States are for urinary tract infections(UTI). About 12% of men and 50% of women will have a UTI during his or her lifetime. A UTI occurs when bacteria, such as E. coli found in the lower intestine, ascend into the urethra or bladder. A recurrent UTI is classified as three or more a year. UTIs can be especially dangerous for the elderly, particularly older women.

Several factors can contribute to the risk of UTI. Sexual intercourse, use of contraceptive spermicide, low levels of estrogen, catheterization, diabetes, pregnancy, and immune suppression increase susceptibility to UTI.

Naturally occurring estrogen helps recurrent UTI in women. After menopause, estrogen levels drop along with the number of "good bacteria" which prevent growth of intestinal bacteria in the vagina. This makes postmenopausal women especially susceptible to UTI.

Catheters also present a risk of recurring UTI. Catheters are associated with colonization of bacteria and increased risks of clinical infection. While single-use of sterile catheters reduces the risks, it does not prevent UTI from occurring. It is therefore important to maintain proper care and use of catheters at all times while remaining alert to symptoms of UTI.

Common symptoms of UTI: painful urination, frequency and urgency of urination, lower abdominal or pelvic pain or pressure, blood in the urine, fever. The elderly may exhibit none of these symptoms early in the course of a UTI, but instead may only exhibit confusion, feelings of general discomfort, and/or new, acute incontinence. If you experience any of these symptoms, see your healthcare professional.

source: www.bocahomecareservices.com/blog