Evidence map›Paper›PMID 34175852›Full record

ArticleUrologia internationalis2022

Geriatric Patients and Symptomatic Urinary Tract Infections: Analysis of Bacterial Range and Resistance Rates at a 3rd Level of Care Hospital in Germany.

Ann-Sera Manseck, Wolfgang Otto, Marco Schnabel, Stefan Denzinger, Maximilian Burger, Philipp Julian Spachmann

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Article in Urologia internationalis, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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0cells of the map it votes in
5citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Ann-Sera ManseckDepartment of Urology Caritas St. Josef Medical Center, University of Regensburg, Regensburg, Germany.
Wolfgang OttoDepartment of Urology Caritas St. Josef Medical Center, University of Regensburg, Regensburg, Germany.
Marco SchnabelDepartment of Urology Caritas St. Josef Medical Center, University of Regensburg, Regensburg, Germany.
Stefan DenzingerDepartment of Urology Caritas St. Josef Medical Center, University of Regensburg, Regensburg, Germany.
Maximilian BurgerDepartment of Urology Caritas St. Josef Medical Center, University of Regensburg, Regensburg, Germany.
Philipp Julian SpachmannDepartment of Urology Caritas St. Josef Medical Center, University of Regensburg, Regensburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIncreasing life expectancy and demographic change result in a rising number of geriatric patients, but knowledge about geriatric treatment options and adapted diagnostic pathways is low. Simultaneously, urinary tract infections (UTIs) are common in older people and often difficult to treat.

methodsPatients with a UTI at a urological outpatient department between January 01, 2016, and December 31, 2017, were retrospectively identified in the data system. One thousand one hundred fifteen patients with "N30" and "N39" diagnosis were included in this study, 965 of which were under the age of 75 (group 1) and 150 of which 75 years or older (group 2).

resultsOf 150 patients in group 2, 41.6% had nitrite-positive urine (vs. 20.9% in group 1, p < 0.05 in χ2 testing). Patients in group 2 often had indwelling devices (30.3 vs. 6.0%, p < 0.05) and presented a sterile urine culture in only 20.7% (vs. 40.1% in group 1). Regarding calculated antibiotic therapy, there were significant differences concerning prescription of ciprofloxacin (34.9 vs. 25%, p < 0.05) and fosfomycin (12.7 vs. 40.7%, p < 0.05).

conclusionUTI in geriatric patients should be treated differently than in younger patients because antibiotic resistance is high. The group with indwelling devices is complex. Individual strategies for geriatric patients should be considered.

Indexed as

FosfomycinUrinary Tract InfectionsAgedAnti-Bacterial AgentsDrug Resistance, BacterialHospitalsHumansRetrospective StudiesAnti-Bacterial AgentsFosfomycinAntibiotic stewardshipAntimicrobial resistance ratesCalculated antibiotic therapyCommunity-acquired urinary tract infectionElderly patientsGeriatric patientsInfectionSymptomatic urinary tract infectionUrinary tract infection

Identifiers

PMID34175852
PMCPMC8985023

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.