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Urinary Tract Infection (UTI) is another one of the common diseases in adults be it males or females.
Asymptomatic bacteriuria and urinary tract infections (UTIs) frequently occur in people aged over 65 years. Asymptomatic bacteriuria is inevitable in all patients with long-term indwelling or supra-pubic catheters. It is rarely appropriate to treat asymptomatic bacteriuria in older patients with antibiotics. Do not request urine culture in older patients who do not have symptoms of a urinary tract infection (UTI).
In general UTIs in older patients are more difficult to diagnose and more difficult to manage than in younger populations. The onset of symptoms can be helpful in differentiating symptomatic UTIs and long-term genitourinary problems, e.g. Dysuria, fever and age over 60 years are reported to be the strongest predictors of UTI in older males. Urine dipstick is not required for the diagnosis of cystitis in females or males but it is helpful in some situations. General practitioners are also able to specify that urine culture be performed regardless of the results of urine microscopy. In this article the term “urine culture” refers to urine microscopy, culture and susceptibility testing.


When taking a urine sample from a catheterised patient, if it is a short-term catheter, e.g.
Depending on the patient’s age and renal function, urgent FBC, CRP, electrolytes and creatinine should also be considered.
Amoxicillin clavulanate is a second-line option (500+125 mg, three times daily, for ten days). Patients with diabetes and pyelonephritis are at an increased risk of developing metabolic complications, e.g.
The diagnosis and management of catheter-associated UTIs is generally the same in females and males.
UTIs in younger females.24 However, there is no evidence that this is effective in older females.
Lactobacillus containing probiotics have not been widely studied in their effectiveness at preventing recurrent UTIs. Urine culture is recommended in all males with a suspected UTI and therefore dipstick testing is of limited benefit. Thank you to Dr Rosemary Ikram, Clinical Microbiologist, Christchurch for expert review of this article. Travel consultations involve assessing the risks that may occur during a journey and helping the traveller minimise them. Associate Professor David Gerrard is a sports physician at the Dunedin School of Medicine, University of Otago. We interviewed experts, regulators and clinicians about generic medicines and medication brand change.


From 1 March 2009 PHARMAC will widen access to vocationally registered general practitioners. Pre-implantation genetic diagnosis (PGD) represents the latest technology in genetic testing. Medsafe have just announced that approval for lumiracoxib (Prexige) 400 mg tablets has been revoked in New Zealand. Bladder stones, also called vesical calculus or cystoliths, are caused by an accumulation of minerals into small masses. Urologic diseases in America project: trends in resource use for urinary tract infections in men.
Diagnosing and managing UTIs is more difficult in older patients as long-term urinary conditions (e.g. The patient’s symptoms and signs are the strongest predictor of a UTI and clinical information should always be included on laboratory requests for urine culture as it will influence the interpretation of results and how the patient is subsequently managed. Guidance on the investigation of suspected UTIs varies depending on whether the patient is female, male or if they have a urinary catheter.
Antibiotic treatment for uncomplicated UTIs can often be initiated empirically, but local susceptibility data is crucial to guide the choice of antibiotic.



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