Diagnosis and management of urinary tract infection in older adults

Infect Dis Clin North Am. 2014 Mar;28(1):75-89. doi: 10.1016/j.idc.2013.10.004. Epub 2013 Dec 8.


Urinary tract infection (UTI) is a commonly diagnosed infection in older adults. Despite consensus guidelines developed to assist providers in diagnosing UTI, distinguishing symptomatic UTI from asymptomatic bacteriuria (ASB) in older adults is problematic, as many older adults do not present with localized genitourinary symptoms. This article summarizes the recent literature and guidelines on the diagnosis and management of UTI and ASB in older adults.

Keywords: Aging; Asymptomatic bacteriuria; Elderly; Urinary tract infection.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Aged
  • Algorithms
  • Anti-Bacterial Agents / therapeutic use*
  • Asymptomatic Infections / therapy
  • Bacteriuria / diagnosis
  • Bacteriuria / drug therapy
  • Bacteriuria / microbiology
  • Humans
  • Middle Aged
  • Phytotherapy / methods
  • Practice Guidelines as Topic
  • Proanthocyanidins / administration & dosage
  • Risk Factors
  • Urinary Tract Infections / diagnosis*
  • Urinary Tract Infections / drug therapy*
  • Urinary Tract Infections / microbiology
  • Vaccinium macrocarpon


  • Anti-Bacterial Agents
  • Proanthocyanidins
  • proanthocyanidin