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The Association of Bacteriuria with Resident Characteristics and Survival in Elderly Institutionalized Men

LINDSAY E. NICOLLE, M.D.; ELIZABETH HENDERSON, M.Sc; JANET BJORNSON, B.Sc.Pharm.; MARGARET McINTYRE, R.N.; GODFREY K.M. HARDING, M.D.; and JOHN A. MacDONELL, M.D.
[+] Article and Author Information

Grant support: in part by a grant from the Canadian Geriatrics Research Society and by a grant from the Manitoba Health Services Research Foundation.

▸Requests for reprints should be addressed to L. E. Nicolle, M.D.; MS-675D, Health Sciences Centre, 820 Sherbrook Street; Winnipeg, Manitoba, Canada R3A 1R9.


Winnipeg, Manitoba, and Calgary, Alberta; Canada


©1987 American College of PhysiciansAmerican College of Physicians


Ann Intern Med. 1987;106(5):682-686. doi:10.7326/0003-4819-106-5-682
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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.

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