Preventative measures such as taking cranberry supplements, drinking plenty of water, and maintaining a clean genital region and strong pelvic floor are recommended to ease symptoms as well as prevent future UTIs.
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.
Risk factors for recurrent symptomatic UTI include diabetes, functional disability, recent sexual intercourse, prior history of urogynecologic surgery, urinary retention, and urinary incontinence.
How to Prevent Recurrent UTIs
Today, amoxicillin is commonly prescribed as first-line treatment for UTIs in older adults. Other common narrow-spectrum must be used with caution when patients have chronic kidney disease or take blood pressure medication, as many older adults do; or because their side effects can be serious in older adults.
The most important method of preventing a UTI is through proper hygiene routines and perineal care, besides individualized toilet routines that facilitate a complete bladder and bowel emptying.
To treat a UTI without antibiotics, people can try the following home remedies:
Older people are more susceptible to UTIs due to a weaker flow of urine, meaning the bladder doesn’t empty fully. In men, an enlarged prostate can also make it difficult to empty the bladder completely. This can lead to bacteria building up in the urine and bladder.
Having a suppressed immune system or chronic health condition can make you more prone to recurring infections, including UTIs. Diabetes increases your risk for a UTI, as does having certain autoimmune diseases, neurological diseases and kidney or bladder stones.
Taking a low dose of one of the antibiotics used to treat UTI— nitrofurantoin (Furadantin, Macrobid), trimethoprim-sulfamethoxazole or TMP-SMX (Septra, Bactrim), and cephalexin (Keflex, Ceporex)—is the most reliable way of dealing with recurrences.
Recurrent UTIs (RUTI) are mainly caused by reinfection by the same pathogen. Having frequent sexual intercourse is one of the greatest risk factors for RUTIs. In a subgroup of individuals with coexisting morbid conditions, complicated RUTIs can lead to upper tract infections or urosepsis.
But UTIs occur among seniors, too. In fact, they’re the most frequent infection diagnosed in those who live in nursing homes and the second most common infection among community-dwelling older adults. Early symptoms can also be subtler among this age group, says Cary Fishburne, MD, an HCA Healthcare Urogynecologist.
Potential nonantibiotic measures and treatments for UTIs include behavioural changes, dietary supplementation (such as Chinese herbal medicines and cranberry products ), NSAIDs, probiotics, d-mannose, methenamine hippurate, estrogens, intravesical glycosaminoglycans, immunostimulants, vaccines and inoculation with less-
Take a cranberry supplement or drink cranberry juice daily. Try AZO Cranberry® Caplets, AZO Cranberry® Softgels or AZO Cranberry® Gummies as a convenient way to maintain your healthy urinary tract without extra sugar. * Wipe from front to back when you go to the bathroom.
Treatment of UTIs. When treating uncomplicated, acute cystitis in the walking-well geriatric population, the use of first-line antibiotics, such as sulfa drugs (sulfamethoxazole/trimethoprim) for 3 days or ampicillin, is sufficient.
Bananas and other high-fiber foods can be good for urinary tract health and preventing urinary tract infections by encouraging regular bowel movements and relieving pressure on urine flow.