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J Korean Med Assoc > Volume 60(7); 2017 > Article
Journal of the Korean Medical Association 2017;60(7):550-554.
Published online August 10, 2017.
DOI: https://doi.org/10.5124/jkma.2017.60.7.550   
Management of urinary tract infection in geriatric hospital patients
Hong Wook Kim, Jin Bum Kim, Young Seop Chang
Department of Urology, Konyang University Hospital, Konyang University College of Medicine, Daejeon, Korea. urolapa@kyuh.ac.kr
As the elderly population increases, so does the prevalence of urinary tract infections in the elderly population in long-term care facilities and the associated medical costs. Screening tests and treatment for asymptomatic bacteriuria in elderly residents in the community or in long-term care facilities are not recommended. However, febrile urinary tract infections should be treated with proper antibiotics. Patients who have risk factors for urinary tract infections require prompt therapy. Catheter-associated bacteriuria is the most common hospital-acquired infection. The most important risk factor associated with an increased likelihood of developing catheter-associated bacteriuria is the duration of catheterization. Long-term catheter indwelling should be avoided, and it is necessary to reduce unnecessary catheter insertion. Most patients are asymptomatic, and they do not require treatment. Symptomatic catheter-associated infections should be treated. The best strategy for reducing catheter-associated infections involves careful aseptic insertion of the catheter and maintenance of a closed dependent drainage system. Steps must be taken to reduce urinary tract infections and urinary catheter-related infections in light of the increasing elderly population.
Key Words: Urinary tract infections, Geriatrics, Catheter-related infections


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