Fungal urinary tract infections in the elderly: Treatment guidelines

Laurie G. Jacobs

Research output: Contribution to journalArticle

30 Citations (Scopus)

Abstract

The finding of fungal growth in the urine (funguria) of elderly patients is becoming increasingly common, It has been reported in both acute and chronic care settings. Risk factors for the development of funguria include the use of broad spectrum antibiotics, corticosteroids and indwelling bladder catheters, as well as diabetes mellitus, urological abnormalities and haematological malignancies. The presence of signs and symptoms of infection are unusual and the intensity of fungal growth in culture does not correlate with outcome. Careful assessment of the patient's clinical status should be undertaken before treatment is initiated as the majority of cases resolve when underlying risk factors are addressed. Current recommendations for treatment include bladder irrigation with amphotericin B, oral fluconazole or a single dose of intravenous amphotericin B.

Original languageEnglish (US)
Pages (from-to)89-96
Number of pages8
JournalDrugs and Aging
Volume8
Issue number2
StatePublished - 1996

Fingerprint

Amphotericin B
Urinary Tract Infections
Urinary Bladder
Guidelines
Indwelling Catheters
Fluconazole
Hematologic Neoplasms
Growth
Signs and Symptoms
Diabetes Mellitus
Adrenal Cortex Hormones
Urine
Anti-Bacterial Agents
Therapeutics
Infection

ASJC Scopus subject areas

  • Pharmacology
  • Geriatrics and Gerontology

Cite this

Fungal urinary tract infections in the elderly : Treatment guidelines. / Jacobs, Laurie G.

In: Drugs and Aging, Vol. 8, No. 2, 1996, p. 89-96.

Research output: Contribution to journalArticle

Jacobs, Laurie G. / Fungal urinary tract infections in the elderly : Treatment guidelines. In: Drugs and Aging. 1996 ; Vol. 8, No. 2. pp. 89-96.
@article{d449f5cca9614b259c3aab9e0b846809,
title = "Fungal urinary tract infections in the elderly: Treatment guidelines",
abstract = "The finding of fungal growth in the urine (funguria) of elderly patients is becoming increasingly common, It has been reported in both acute and chronic care settings. Risk factors for the development of funguria include the use of broad spectrum antibiotics, corticosteroids and indwelling bladder catheters, as well as diabetes mellitus, urological abnormalities and haematological malignancies. The presence of signs and symptoms of infection are unusual and the intensity of fungal growth in culture does not correlate with outcome. Careful assessment of the patient's clinical status should be undertaken before treatment is initiated as the majority of cases resolve when underlying risk factors are addressed. Current recommendations for treatment include bladder irrigation with amphotericin B, oral fluconazole or a single dose of intravenous amphotericin B.",
author = "Jacobs, {Laurie G.}",
year = "1996",
language = "English (US)",
volume = "8",
pages = "89--96",
journal = "Drugs and Aging",
issn = "1170-229X",
publisher = "Adis International Ltd",
number = "2",

}

TY - JOUR

T1 - Fungal urinary tract infections in the elderly

T2 - Treatment guidelines

AU - Jacobs, Laurie G.

PY - 1996

Y1 - 1996

N2 - The finding of fungal growth in the urine (funguria) of elderly patients is becoming increasingly common, It has been reported in both acute and chronic care settings. Risk factors for the development of funguria include the use of broad spectrum antibiotics, corticosteroids and indwelling bladder catheters, as well as diabetes mellitus, urological abnormalities and haematological malignancies. The presence of signs and symptoms of infection are unusual and the intensity of fungal growth in culture does not correlate with outcome. Careful assessment of the patient's clinical status should be undertaken before treatment is initiated as the majority of cases resolve when underlying risk factors are addressed. Current recommendations for treatment include bladder irrigation with amphotericin B, oral fluconazole or a single dose of intravenous amphotericin B.

AB - The finding of fungal growth in the urine (funguria) of elderly patients is becoming increasingly common, It has been reported in both acute and chronic care settings. Risk factors for the development of funguria include the use of broad spectrum antibiotics, corticosteroids and indwelling bladder catheters, as well as diabetes mellitus, urological abnormalities and haematological malignancies. The presence of signs and symptoms of infection are unusual and the intensity of fungal growth in culture does not correlate with outcome. Careful assessment of the patient's clinical status should be undertaken before treatment is initiated as the majority of cases resolve when underlying risk factors are addressed. Current recommendations for treatment include bladder irrigation with amphotericin B, oral fluconazole or a single dose of intravenous amphotericin B.

UR - http://www.scopus.com/inward/record.url?scp=0030070587&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0030070587&partnerID=8YFLogxK

M3 - Article

C2 - 8845590

AN - SCOPUS:0030070587

VL - 8

SP - 89

EP - 96

JO - Drugs and Aging

JF - Drugs and Aging

SN - 1170-229X

IS - 2

ER -