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Chapter-05 Recurrent Urinary Tract Infection in Elderly Female

BOOK TITLE: Update on Urinary Tract Infections

Author
1. Kumar Niraj
2. Kumar Anup
ISBN
9789352701728
DOI
10.5005/jp/books/18034_6
Edition
1/e
Publishing Year
2018
Pages
8
Author Affiliations
1. Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India, Vardhman Mahavir Medical, College and Safdarjang Hospital, New Delhi, India, All India Institute of Medical Sciences, New Delhi, India, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
2. Vardhman Mahavir Medical, College and Safdarjang Hospital, New Delhi, India
Chapter keywords
Recurrent urinary tract infection, bacterial persistence, antimicrobial prophylaxis, vaginal estrogen, cranberry extract, behavioral modification, D-mannose

Abstract

Urinary tract infection (UTI) is the most common bacterial infection in elderly women. A recurrent UTI is the infection that occurs after documented, successful resolution of an antecedent infection. It is defined as more than or equal to 3 UTIs in 12 months, or more than or equal to 2 infections in 6 months. It can be of two different types—reinfection and bacterial persistence. It can be difficult to diagnose an UTI in elderly patients as its symptoms may be absent or concomitant disease may mask the symptoms. So, high index of suspicion is warranted and diagnosis usually requires urinalysis and culture. A detailed discussion on the risk factors, diagnosis, treatment, and prevention of recurrent urinary tract infection has been also provided in this chapter.

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