Abstract

After respiratory tract infections, urinary tract infections (UTI) are the most common cause of illness in persons in aging time. During 2017-2019 we have studied 100 UTI patients, on age over 60 age, 68 men and 32 female with urinary catheter, diabetes mellitus, high blood pressure, or prostate and kidney affection, concerning diagnosis, treatment, and prevention of reinfection. The symptoms among these included: frequency, dysuria, urgency, suprapubic pain, cloudy and/or foulsmelling urine, hesitation to pass urine, fever (>38ºC), chills, incontinence, not feeling well, confusion, agitation, change in appetite. The following uropathogens were cultured: Escherichia coli, Proteus spp., Klebsiella spp., Pseudomonas spp., Enterobacter spp. Three main types of UTIs were found: cystitis (65 cases), urethritis - prostatitis (25 cases) and pyelonephritis (10 cases). The recommended therapy according to susceptibility testing was: ampicillin mostly associated with an betalactamase inhibitor, cipro / norfloxacin, pivmecillinam, nitrofurantoin and trimethoprim in combination with sulphamethoxazole. A follow-up culture after 10 days after therapy showed: bacterial eradication (85 cases), recurrence of the same bacterial species (15 cases) and no new reinfection. UTI in elderly is a complex problem for diagnosis, treatment, and prevention. Most of them are painful and bothersome, but usually treatment is successful with appropriate antibiotics.