The condition occurs in about 6 to 16 percent of women over age 65, 20 percent of women over age 80, and 25 to 50 percent of women living in nursing facilities. “Doctors should not treat urinary bacteria with antibiotics unless there are multiple other signs or symptoms of a UTI.
Nitrofurantoin should be considered for treatment of cystitis only in older adults. Nitrofurantoin can have pulmonary toxicity. Patients receiving this drug having new pulmonary symptoms should be promptly evaluated. For more highly resistant bacterial isolates, fosfomycin may be effective for older adults.
When you think of urinary tract infections (UTIs), you may think they occur mostly in young adults, especially women. But UTIs are the most common type of bacterial infection in older adults over age 65 —particularly for those living in nursing homes.
Certain factors may increase the risk of UTIs in older people. Conditions common in older adults may lead to urinary retention or neurogenic bladder. This increases the risk of UTIs. These conditions include Alzheimer’s disease, Parkinson’s disease, and diabetes.
Symptoms of a UTI may include:
How you can treat cystitis yourself
When left untreated, UTIs in the elderly can cause serious problems, including permanent kidney damage and sepsis — a generalized and potentially life-threatening infection.
In institutionalized older adults, catheter- ization, incontinence, antimicrobial exposure, and functional status are most strongly related to risk of recurrent UTIs. 22 Among older men, risk factors for UTIs include dementia, incontinence of bladder and bowel, and use of condom or in- dwelling catheters.
To treat a UTI without antibiotics, people can try the following home remedies:
UTI is considered to be the most common infection among the elderly1–3 and the most common cause of bacteremia,4 but patients with bacteriuria who can clearly communicate the absence of urinary tract symptoms have asymptomatic bacteriuria (ASB) and do not require treatment.
SITTING FOR LONG PERIODS OF TIME New evidence from the American Journal of Kidney Diseases linked prolonged sitting to kidney problems, including UTIs. According to the study, those who sit less and exercise more has the lowest risk of developing urinary complications.
Urinate frequently By drinking more water, the urge to urinate will become more frequent. Urinating more often prevents infecting bacteria from building up that cause UTIs in seniors.
Signs of Urinary Tract Infection In some elderly people, mental changes and confusion may be the only signs of a UTI. Older adults with a UTI are more likely to be tired, shaky, and weak and have muscle aches and abdominal pain.
Dehydration may increase the risk of urinary tract infections (UTIs), which can lead to confusion, falls, acute kidney injury and hospital admission.
Some authors define the age from 65 to 74 as pre-old age, while those aged over 75 are considered old. Similarly, one study differentiates the young-old from 60 to 69, the middle old from 70 to 79, and very old 80 years of age and older.
It is generally accepted that nitrofurantoin may be ineffective for UTIs in the elderly because age-related declines in renal function result in subtherapeutic concentrations in the urinary tract. However, the recommendation to avoid the drug in the elderly is not because it causes nephrotoxicity.