A suggested approach to the diagnosis of urinary tract infection and empiric use of antibiotics among hospitalized older adults with acute confusion and or underlying cognitive and communication deficits
Farooq Akram, Humaira Shafi, Stephen Paul Wilkinson, Yeo Li Fang, Kangqi Ng, Roshni Sadashiv Gokhale, Helen Oh May Lin
Abstract
Background
The true incidence of urinary tract infection (UTI) among hospitalized older adults remains unknown.
Aims
We aim to present an approach to improve correct identification of UTI diagnosis and empiric use of antibiotics among those who are unable to provide history.
Methods
A comprehensive review of the literature was undertaken.
Results
Our suggested approach appears safe and likely to enhance diagnostic accuracy and judicious use of antibiotics among hospitalized older adults.
Conclusion
Our suggested approach is based on best available literature evidence but requires validation in clinical studies.
Full Text:
The true incidence of urinary tract infection (UTI) among hospitalized older adults remains unknown.
Aims
We aim to present an approach to improve correct identification of UTI diagnosis and empiric use of antibiotics among those who are unable to provide history.
Methods
A comprehensive review of the literature was undertaken.
Results
Our suggested approach appears safe and likely to enhance diagnostic accuracy and judicious use of antibiotics among hospitalized older adults.
Conclusion
Our suggested approach is based on best available literature evidence but requires validation in clinical studies.
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