041 UTIs and Urine Bacteria in Aging: How to get the right diagnosis and avoid unneeded antibiotics


Manage episode 210366439 series 2359394
By Leslie Kernisan, MD MPH, Leslie Kernisan, and MD MPH. Discovered by Player FM and our community — copyright is owned by the publisher, not Player FM, and audio is streamed directly from their servers. Hit the Subscribe button to track updates in Player FM, or paste the feed URL into other podcast apps.

In This Episode:

Dr. K explains why having bacteria in one’s urine does NOT mean one has a urinary tract infection (UTI) that requires antibiotics. In fact, as people get older, they may have bacteria in the urine but no UTI symptoms or other signs of infection. This condition, called “asymptomatic bacteriuria” is common, and is often inappropriately treated with antibiotics. In this episode:

  • How to know if one has asymptomatic bacteriuria versus a UTI that warrants antibiotics
  • Why having asymptomatic bacteriuria becomes more common as people become older
  • Why the Infectious Disease Society of America and others have repeatedly urged doctors to NOT treat asymptomatic bacteriuria
  • The challenge of correctly diagnosing UTIs in people with dementia
  • How one can be harmed by using antibiotics to try to eliminate bacteria in the bladder
  • What to do if you’re worried about urine bacteria — or a possible UTI — in an older person

Related episode:

014 Delirium & Hospital Confusion

Related Resources:

The post 041 UTIs and Urine Bacteria in Aging:
How to get the right diagnosis & avoid unneeded antibiotics
appeared first on Better Health While Aging.

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