Screening for Asymptomatic Bacteriuria in the Elderly

Prepared by Lindsay E. Nicolle, MD, Associate Professor of Medicine/Medical Microbiology, University of Manitoba, Winnipeg

1. Report of a Task Force to the Conference of Deputy Ministers of Health (cat. no. H39-3/1980E), Health Services and Promotion Branch, Department of National Health and Welfare, Ottawa, 1980

2. Canadian Task Force on the Periodic Health Examination: The periodic health examination. Can Med Assoc J 1979; 121: 1193-1254

3. Nicolle LE: Urinary tract infection in the elderly. J Antimicrob Chemother (in press).

4. Nicolle LE: Urinary tract infections in long-term care facilities. Infect Control Hosp Epidemiol 1993; 14: 220-225

5. Boscia JA, Kobasa WD, Abrutyn E, et al: Lack of association between bacteriuria and symptoms in the elderly. Am J Med 1986; 81: 979-982

6. Boscia JA, Kobasa WD, Knight RA, et al: Therapy vs no therapy for bacteriuria in elderly ambulatory nonhospitalized women. JAMA 1987; 257: 1067-1071

7. Mims AD, Norman DC, Yamamura RH, et al: Clinically inapparent (asymptomatic) bacteriuria in ambulatory elderly men: epidemiological, clinical, and microbiological findings. J Am Geriatr Soc 1990; 38: 1209-1214

8. Nicolle LE, Mayhew WJ, Bryan L: Prospective, randomized comparison of therapy and no therapy for asymptomatic bacteriuria in institutionalized elderly women. Am J Med 1987; 83: 27-33

9. Nicolle LE, Bjornson J, Harding GKM, et al: Bacteriuria in elderly institutionalized men. New Engl J Med 1983; 309: 1420-1425

10. Nicolle LE, Orr P, Duckworth H, et al: Gross hematuria in residents of long-term care facilities. Am J Med 1993; 94: 611-618

11. Berman P, Hogan DB, Fox RA: The atypical presentation of infection in old age. Age Ageing 1987; 16: 201-207

12. Sourander LB, Kasanen A: A 5 year follow-up of bacteriuria in the aged. Gerontologica Clinica 1972; 14: 274-281

13. Dontas AS, Kasviki-Charvati P, Papanayiotou PC, et al: Bacteriuria and survival in old age. New Engl J Med 1981; 304: 939-943

14. Nordenstam GR, Brandberg CA, Oden AS, et al: Bacteriuria and mortality in an elderly population. New Engl J Med 1986; 314: 1152-1156

15. Heinamaki P, Haavisto M, Hakuline T, et al: Mortality in relation to urinary characteristics in the very aged. Gerontology 1986; 32: 167-171

16. Nicolle LE, Henderson E, Bjornson J, et al: The association of bacteriuria with resident characteristics and survival in elderly institutionalized men. Ann Intern Med 1987; 106: 682-686

17. Warren JW: Catheter-associated bacteriuria. Clinic Ger Med 1992; 8: 805-819

18. Warren JW, Anthony WC, Hoopes JM, et al: Cephalexin for susceptible bacteriuria in afebrile, long-term catheterized patients. JAMA 1982; 248: 454-458

19. Boscia JA, Abrutyn E, Kaye D: Asymptomatic bacteriuria in elderly persons: treat or do not treat. Ann Intern Med 1987; 106: 764-766