Among patients aged 65 and older, urinary tract infection (UTI) is the most common
diagnosis for antibiotic use in nursing homes. Asymptomatic bacteriuria (ASB) comprises
a large portion of suspected UTI. Older adults are at increased risk of adverse events
from unnecessary antibiotic use. However, clinicians find it difficult to distinguish
UTI from ASB, especially in older adults who are likely to have chronic lower urinary
tract symptoms, neurocognitive impairments, atypical and nonspecific symptoms. Given
the higher risks and challenges to diagnosing UTI in the geriatric population, a multidisciplinary
team can improve the incidence and antibiotic use for UTI.
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© 2022 Published by Elsevier Inc.
