Decision aid for diagnosis and management of suspected urinary tract infection (UTI) in older people

Scottish Antimicrobial Prescribing Group

Urinary tract infections (UTIs) are a common indication for antimicrobial treatment in primary care. The diagnosis of UTI is particularly difficult in the elderly who are more prone to developing asymptomatic bacteriuria. When UTIs are unnecessarily over-treated with antibiotics, the risk of clinically adverse events in the form of antibiotic resistant disease is often significant. Prudent prophylaxis, appropriate diagnostic testing, and recognition of symptoms are all vital in properly managing UTIs and providing better outcomes for both patients and the NHS.

This new Guidelines summary discusses the diagnosis of UTI in older people and good practice points for prophylaxis and antibiotic therapy.

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