Good for the elderly
If you don’ t treat a UTI , a long-lasting kidney infection can hurt your kidneys forever. It can affect the way your kidneys function and lead to kidney scars, high blood pressure, and other issues. Sometimes it can even be life-threatening. You’ll take antibiotics to treat a kidney infection .
Older adults don’t need powerful antibiotics for UTIs Lathia and Dr. Goldman. These drugs are less likely to lead to antibiotic resistance and problematic side effects than broad-spectrum antibiotics. Today, amoxicillin is commonly prescribed as first-line treatment for UTIs in older adults .
Antibiotics are the treatment of choice for UTIs in older adults and younger people. Your doctor may prescribe amoxicillin and nitrofurantoin ( Macrobid , Macrodantin ). More severe infections may require a broad-spectrum antibiotic such as ciprofloxacin (Cetraxal, Ciloxan ) and levofloxacin ( Levaquin ).
People shouldn’t die from a UTI , but if sepsis begins to take over and develops to severe sepsis and then to septic shock, this is exactly what can happen. More than half the cases of urosepsis among older adults are caused by a UTI .
An antibiotic resistant UTI can then become a chronic condition and can often cause frequently recurring outbreaks of infection, with an increased risk of serious kidney infection (pyelonephritis) and even sepsis.
Most UTIs aren’t serious. But if left untreated, the infection can spread up to the kidneys and bloodstream and become life-threatening. Kidney infections can lead to kidney damage and kidney scarring. Symptoms of a UTI usually improve within two to three days after starting antibiotic therapy.
Why are seniors at risk for UTIs ? Men and women older than 65 are at greater risk for UTIs . This is because both men and women tend to have more problems emptying their bladder completely as they age. The urine sits in the bladder longer and bacteria develop.
UTIs can cause a significant and distressing change in someone’s behaviour that is commonly referred to as ‘ acute confusional state ‘ or ‘ delirium ‘. Delirium is a change in someone’s mental state and usually develops over one or two days .
Because our immune system changes as we get older , it responds differently to the infection. Instead of pain symptoms, seniors with a UTI may show increased signs of confusion , agitation or withdrawal.
Symptoms of a UTI may include: a more urgent need to urinate. increased urination. burning, pain, or discomfort when urinating. feeling pressure in the lower abdomen or pelvis. cloudy, thick, or odorous urine. the bladder not feeling empty after urination. fever. pain in the lower abdomen, flank, or back.
A kidney infection is, in essence, a UTI that has spread into the kidneys . While this type of infection is rare, it’s also very dangerous and if you’re experiencing any of the following signs of a kidney infection , you should see a doctor immediately: Upper back or side pain. Fever, shaking or chills.
Drugs commonly recommended for simple UTIs include: Trimethoprim/sulfamethoxazole ( Bactrim , Septra , others) Fosfomycin ( Monurol ) Nitrofurantoin ( Macrodantin , Macrobid )
Sepsis Symptoms Fever and chills. Very low body temperature. Peeing less than usual. Fast heartbeat. Nausea and vomiting. Diarrhea. Fatigue or weakness. Blotchy or discolored skin.
There are three stages of sepsis: sepsis, severe sepsis, and septic shock .
Complications of a UTI may include: Recurrent infections, especially in women who experience two or more UTIs in a six-month period or four or more within a year. Permanent kidney damage from an acute or chronic kidney infection (pyelonephritis) due to an untreated UTI .