If you think diagnosing a UTI in the elderly is simple, you're doing it wrong! We order urinalysis for elderly patients with all sorts of vague symptoms, even when these symptoms are unlikely to have anything to do with urinary tract infections. Urinalysis is much less reliable in elderly patients and residents of long-term care facilities. It is essential for every acute care physician to be aware of that. In this video, you will learn how to tell the difference between actual urinary tract infections and conditions that can mimic them both in terms of symptoms and findings in urinalysis. I highly recommend you read the articles I included in the description. Every physician who has ever ordered a urinalysis should read this.

Free online course: ' A Clinical Approach to Serious Infections in Adults: What Every Physician Should Know’ [ Ссылка ]

DISCLAIMER: Please, always keep in mind that my videos are intended for educational purposes only. The content of my videos is NOT medical advice. I do not practice medicine over the internet. If you are a patient and have any questions about your health, please talk to your doctor.

CHAPTERS:
00:00 The basics of urinalysis in UTIs (urine test strips, biochemistry, microscopy)
01:43 The dangers of misunderstanding the role of urinalysis
03:45 Clinical presentation of urinary tract infections in elderly patients
05:04 Asymptomatic bacteriuria and pyuria (leukocyturia)
06:07 Urine sample contamination
06:45 UTI vs. asymptomatic bacteriuria: how to tell the difference

REFERENCES & RECOMMENDED READING:
1. Pallin DJ, Ronan C, Montazeri K, Wai K, Gold A, Parmar S, et al. Urinalysis in acute care of adults: pitfalls in testing and interpreting results. Open Forum Infect Dis. 2014 Mar;1(1):ofu019.
2. Rowe TA, Juthani-Mehta M. Urinary tract infection in older adults. Aging health. 2013 Oct;9(5).
3. Johnson JR, Drekonja DM. Bacteriuria/Pyuria of Clinically Undetermined Significance (BPCUS): Common, but Currently Nameless. The American Journal of Medicine. 2017 May 1;130(5):e201–4.
4. McMurdo ME, Gillespie ND. Urinary tract infection in old age: over-diagnosed and over-treated. Age Ageing. 2000 Jul;29(4):297–8.
5. Nicolle LE. Catheter associated urinary tract infections. Antimicrob Resist Infect Control. 2014;3:23.

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