Urinary Tract Infections (UTIs): A Growing Threat to Our Elderly Patients

by | Aug 9, 2024 | Antibiotic Stewardship, Care Coordination, Featured, Great Plains QIN, Healthcare-Associated Infections, Hospitals, Nursing Home Quality, Patient Safety, Q Tip Podcast, Quality Care Coalition

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UTI

A recent global study spanning 204 countries revealed a startling truth: Urinary Tract Infections (UTIs) are on the rise.¹ This alarming trend is directly linked to increasing life expectancy as older individuals are significantly more susceptible to these infections. Unfortunately, the consequences of UTIs in the elderly are severe, often leading to sepsis, septic shock, and tragically, death.

UTIs are not only becoming more common, but also deadlier. A study analyzing urine cultures between 2005-2006 and 2010-2011 showed a disturbing increase in bacterial resistance to fluoroquinolones. This means our go-to antibiotics are becoming less effective, making UTIs even harder to treat.²

Why are the elderly particularly vulnerable? Factors such as frequent use of urinary catheters, asymptomatic bacteriuria, and incomplete bladder emptying contribute to their heightened risk. This is why it’s crucial to minimize catheter use and encourage proper voiding posture. As healthcare professionals, we have a responsibility to protect our elderly patients from this growing threat. Rigorous adherence to aseptic techniques during catheter insertion is paramount. If there’s any doubt about maintaining a sterile environment, stop the procedure immediately. Remember, every breach in sterility increases the risk of infection.

By staying informed, following best practices, and prioritizing patient safety, we can significantly reduce the incidence and severity of UTIs in our facilities.

For ideas on how to prevent and treat UTIs, review these tools:

Source:

  1. Disease burden and long-term trends of urinary tract infections: A worldwide report
  2. Susceptibility to antibiotics in urinary tract infections in a secondary care setting from 2005-2006 and 2010-2011, in São Paulo, Brazil: data from 11,943 urine cultures – PubMed (nih.gov)
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