Urinary tract infection in the elderly: Specialist explains.

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Mundo da Infectologia

Published on Apr 17, 2023
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Urinary tract infections in the elderly are a common condition that occurs when microorganisms, usually bacteria, invade and multiply in the urinary tract. Older adults are more susceptible to urinary tract infections due to factors such as decreased mobility, urinary incontinence, use of urinary catheters, enlarged prostate in men and hormonal changes in women, as well as age-related weakening of the immune system. Symptoms of urinary tract infections in the elderly may be atypical and vary from person to person. Some common symptoms include pain or burning when urinating, urgency to urinate, incontinence, strong-smelling or cloudy urine, and abdominal pain. In more severe cases, fever, chills, and back pain may occur, indicating possible pyelonephritis. It is important to diagnose and treat urinary tract infections in the elderly as soon as possible to avoid complications, such as kidney infections or sepsis. Diagnosis is usually made through urine tests and sometimes imaging tests. Treatment usually involves antibiotics, but the choice of medication and the length of treatment may vary from case to case. Preventing urinary tract infections in older adults includes measures such as maintaining good personal hygiene, ensuring adequate fluid intake, emptying the bladder regularly, and promptly treating any underlying medical conditions that may increase the risk of infection. ???????? Here are some recommendations for habits and diet to prevent or alleviate urinary tract infections in older adults???????? -Drink plenty of water: Increasing your fluid intake, especially water, helps dilute your urine and flush bacteria from the urinary tract. -Urinate frequently: Emptying your bladder regularly helps reduce the amount of time bacteria spend in the urinary tract, reducing the risk of infection. -Avoid constipation: Eating a diet rich in fiber and drinking enough fluids can help prevent constipation, which can contribute to urinary tract infections. -Maintain good personal hygiene: Wipe from front to back after urinating or having a bowel movement to prevent bacteria from spreading to the urethra. -Wear cotton underwear: Cotton is a breathable fabric that helps keep the genital area dry and less prone to bacterial growth. -Avoid baths: Opt for showers instead of baths to reduce exposure to bacteria. -Eat foods rich in vitamin C: Vitamin C helps acidify urine, making it harder for bacteria to grow. Foods rich in vitamin C include citrus fruits, kiwi, strawberries, broccoli, and bell peppers. -Avoid caffeine, alcohol, and sugary drinks: These substances can irritate the bladder and increase the risk of urinary tract infections. -Manage chronic diseases: Properly managing conditions such as diabetes and kidney disease can help reduce the risk of urinary tract infections. -Evaluate cranberry supplements: Cranberries have been studied for their antibacterial properties and may help prevent urinary tract infections in some people. Consult a doctor before starting any supplement. -Avoid prolonged use of urinary catheters: If possible, work with healthcare professionals to minimize the use of urinary catheters or find alternatives, as they can increase the risk of urinary tract infections. ???????? Frequently asked questions about urinary tract infections in the elderly:???????? -What are the symptoms of a urinary tract infection in the elderly? -Are the elderly at higher risk of developing urinary tract infections? Why? -What is the difference between a urinary tract infection and pyelonephritis in the elderly? -How is a urinary tract infection diagnosed in the elderly? -What are the most common causes of urinary tract infections in the elderly? -What are the treatment options for urinary tract infections in the elderly? -How can I prevent urinary tract infections in the elderly? -Can urinary tract infections in the elderly cause complications? Which ones? -Can dementia or Alzheimer's affect the recognition of a urinary tract infection in the elderly? -Can urinary incontinence in the elderly increase the risk of urinary tract infections? How can it be treated? ############################ In-person consultations in Leblon - Rio de Janeiro or by telemedicine, book your appointment at this link: https://www.beranger.com.br Follow on Instagram: @drarenataberanger Comment, ask questions about infectology, share! DR. RENATA BERANGER INFECTIOLOGIST CRM 52.71730-4 RQE 36746

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