How old urinary tract infection diagnosis and treatment?

Elderly in the diagnosis of urinary tract infection rely mainly on the middle of clean urine quantitative bacterial cultures, the elderly because fewer symptoms, not typical. In addition, the difference between the upper and lower urinary tract infection it is necessary and possible to do a clean urine middle of antibody-coated bacteria inspection, Urine β2 - microglobulin in urine and Lysozyme can be used as diagnosis. As the elderly asymptomatic bacteria causing urinary more systemic or urogenital symptoms, most of which are short-term in nature, Therefore, the existing data do not support the conventional treatment. Only before intubation, or if urinary congenital or acquired serious abnormalities, immune function serious flaws or pathogen of the disease rate is particularly high (such as high urea splitting bacteria) of the silent when bacteria in urine for treatment. Moreover, the treatment should be treated differently, in the absence of urinary obstruction of asymptomatic bacteriuria urine, can take Ofloxacin 0.2 g, 2 times per day, or norfloxacin, cotrimoxazole, AMOXICNLINAND mouth or furan Dan acridine, even serving on the 3rd of a course. Symptomatic urinary bacteria such as urinary tract infection under medication 5 ~ 7 days, in the case of an upper urinary tract infection still 10 ~ 1 4 Tianyi the appropriate treatment. In the use of antibiotic therapy, it should actively correct or eliminate incentives and other diseases. especially the elderly kidney function gradually diminishes, on this basis, the occurrence of urinary tract infection further damage to the renal function, accelerated renal failure; Moreover, the elderly urinary tract infection for pyelonephritis, parenchymal inflammation of the kidney function is subject to greater harm. If the right renal dysfunction patients reasonable use of dialysis treatment to be active antimicrobial drugs, the prognosis may be very different.