LINDSAY E. NICOLLE, M.D.; ELIZABETH HENDERSON, M.Sc; JANET BJORNSON, B.Sc.Pharm.; MARGARET McINTYRE, R.N.; GODFREY K.M. HARDING, M.D.; JOHN A. MacDONELL, M.D.
Ninety-one elderly male residents of a skilled nursing facility were classified as nonbacteriuric (41%), intermittently bacteriuric (34%), or continuously bacteriuric (25%) on the basis of urine cultures obtained over a 3-year period. Bacteriuric and nonbacteriuric residents were similar in age, number of diagnoses and medications, and mobility. However, bacteriuric residents were more frequently confused or demented, whether continuously bacteriuric (78%) or intermittently bacteriuric (62%) compared with nonbacteriuric residents (42%) (p < 0.04). In addition, bacteriuria was significantly associated with incontinence of bladder (96% of continuous, 66% of intermittent, and 25% of nonbacteriuric; p < 0.001) and bowel (52%, 39%, and 5.5%, respectively; p < 0.002). At 6 years of follow-up there were no differences in survival among the three groups. Urinary tract infection caused or contributed to only two (2.9%) deaths. Thus, in this population, bacteriuria was associated with higher functional disability but not with increased mortality.
NICOLLE LE, HENDERSON E, BJORNSON J, McINTYRE M, HARDING GK, MacDONELL JA. The Association of Bacteriuria with Resident Characteristics and Survival in Elderly Institutionalized Men. Ann Intern Med. ;106:682–686. doi: 10.7326/0003-4819-106-5-682
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Published: Ann Intern Med. 1987;106(5):682-686.
Education and Training, Geriatric Medicine, Infectious Disease, Nephrology, Urinary Tract Infection.
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