- 1 Urinary tract infection – How long should I wait to take a urine
- 2 Answers (2)
- 3 Tell us what’s troubling you
- 4 Urinary Tract Infections – Learn How to Spot and Treat Them
- 5 How Long Should a UTI Last After Antibiotics?
- 6 Can UTI Symptoms Linger After Antibiotics? What It Means & What to Do
- 7 Treating UTIs: Antibotics, Medication, and Home Remedies
- 8 What About Cranberry Juice for UTI?
- 9 What Over-the-Counter Treatment Options Are Safe To Use?
- 10 Can a UTI Go Away On Its Own?
- 11 What Happens When a UTI Goes Untreated?
- 12 UTIs & Urine Bacteria in Aging: How to Know When Antibiotics Are Needed
- 12.1 What is asymptomatic bacteriuria?
- 12.2 How common is asymptomatic bacteriuria?
- 12.3 How to tell the difference between asymptomatic bacteriuria and a UTI
- 12.4 Why asymptomatic bacteriuria usually doesn’t warrant antibiotics
- 12.5 Practical tips on urine bacteria and possible UTIs in older adults
- 13 Urine Culture
- 14 Urine Culture
- 15 Why It Is Done
- 16 How To Prepare
- 17 How It Is Done
- 18 How It Feels
- 19 Risks
- 20 Results
- 21 Credits
- 22 Antibiotics for Urinary Tract Infections in Older People
Urinary tract infection – How long should I wait to take a urine
Infection of the urinary tract Male, 30 years old, was requested. How long should I wait after taking antibiotics before taking a urine culture test to see if the infection has cleared up or not? Taking nitrofurantoin 100mg twice a day for a total of ten days.
Do you agree with the answers? Consult with a doctor of your choosing in a confidential setting. After two days, a urine culture should be performed on the patient. Nitrofurantoin has a very short half-life and is flushed out of your system in a very short period of time. There’s no need to keep waiting much longer than that. Wishing you the best. This was helpful to 1 out of 1 people. Was this answer of use to you? YESNO
Didn’t find the answer you are looking for?
In only 5 minutes, you may communicate with an experienced doctor online and get your health issues answered. Consult with a doctor right away on the internet. After 2 weeks of not using antibiotics, you can repeat the CUE and URINE CULTURE procedures. Dr. Praveen Kumar Etta is a nephrologist who practices in Hyderabad. Next Stepscue and urine culture are the next steps. Health Suggestions more water should be consumed This was helpful to 1 out of 1 people. Was this answer of use to you? YESNO Disclaimer: The information provided is not meant to be a substitute for professional medical advice, diagnosis, or treatment from a licensed healthcare provider.
Because of whatever you’ve read on this website, you should never dismiss competent medical advice or put off obtaining it altogether.
Kidney and Urinary Problems?
Consult with medical professionals. The question posed on this page is an unrestricted free-form inquiry. By installing the Practo app, you will be able to ask a free health question.
Tell us what’s troubling you
Disclaimer: The information provided is not meant to be a substitute for professional medical advice, diagnosis, or treatment from a licensed healthcare provider. If you have any questions about your medical condition, you should always seek the counsel of your physician or another certified health expert. Because of whatever you’ve read on this website, you should never dismiss competent medical advice or put off obtaining it altogether.
Urinary Tract Infections – Learn How to Spot and Treat Them
Urinary tract infections (UTIs) cause for more than 8.1 million medical visits each year, according to the American Medical Association. Approximately 40% of women and 12% of men will experience the symptoms of at least one urinary tract infection (UTI) during their lives. One in every five young women who has a UTI will develop another one within a year. Men are less likely than women to have a urinary tract infection in the first place. However, if they do acquire one, they are more likely to develop another since the bacterium has a tendency to lurk within the prostate gland.
- The 83-year-old grandma has had urinary tract infections (UTIs) for the past 55 years.
- After years of battling urinary tract infections, she has finally been able to get things under control.
- “I still get them from time to time, especially when I travel,” Nora admits.
- When I was a child, I was put in various difficult situations, such as being on a flight and being informed that I couldn’t leave my seat to use the restroom.” Nora’s urologist, Dr.
- Schaeffer, stated that she was not to blame for her recurrent urinary tract infections.
- “Most older women have germs in their urine that do not produce symptoms and should not be treated,” says Dr.
- Nora, on the other hand, experiences UTIs with symptoms.” Bacteria are not found in normal urine.
The infection usually begins in the bladder, but it has the potential to move to the kidneys.
It has the potential to make you feel as though you need to urinate more frequently.
Additionally, you may experience some burning while your pee is expelled.
Fever and back discomfort are common symptoms of kidney infections.
Having a kidney infection may be extremely dangerous since it can spread fast into the bloodstream and cause death.
Uncomplicated urinary tract infections (UTIs) are infections that occur in healthy persons who have normal urinary tracts.
According to Dr.
“Men and boys who have UTIs should be seen by a urologist since, unless shown otherwise, we assume they have complex UTIs.” Some people, such as Nora, are more susceptible to urinary tract infections.
The use of condoms containing sperm-killing foam has also been related to an increase in urinary tract infections (UTIs) in women.
This is due to the fact that they impair the body’s immune system function and make it more difficult to fight infections.
Your initial urinary tract infection (UTI) should be evaluated at your doctor’s office.
Bacteria or white blood cells in the urine are the cause of these symptoms.
Schaeffer, but it is required when it comes to women who have recurring uncomplicated UTIs and complex UTIs.
Blood in the urine may be caused by a urinary tract infection (UTI), but it may also be caused by another condition in the urinary system.
It is confirmed that a woman has a UTI when she gets a positive culture (which identifies bacteria).
A simple UTI is treated with a short course of oral antibiotics without the need for a urine culture to determine whether or not you have an infection.
In certain cases, you may only need to take one dosage per day, while in others you may need to take up to four doses each day.
However, even if you feel better, you should continue complete the term of medicine that has been recommended for you.
It is critical that you adhere to the doctor’s directions for taking the prescription exactly as they are written.
Schaeffer notes that doing so will help you prevent negative effects while also ensuring that the bacterium does not grow resistant.
If you have a serious urinary tract infection, you may require IV antibiotics.
UTIs will be reduced by 95% as a result of this.
Some doctors may then recommend that the patient “self-start” their treatment.
If you suspect you may be developing an infection, you should do a urine culture at home and begin taking antibiotics right away.
This is how Nora deals with her urinary tract infections.
This way, I’ll be able to acquire it as soon as possible, before things go too terrible.” Dr.
In many cases, they are unhappy to hear that scientific studies have not demonstrated this to be accurate.
For women who are genetically vulnerable to recurrent urinary tract infections (UTIs), “recurrent infections may be a lifelong problem,” says Dr. Schaeffer. “However, with proper management, the incidence and expense may be kept to a bare minimum.” Symptoms of a urinary tract infection
- You have a strong need to urinate frequently, yet you are only able to generate little amounts
- Urination causes burning
- Abdominal or pelvic ache or discomfort (in men, this pain or discomfort may be felt in the rectum). Urine containing blood (urine is pink, crimson, or cola colored)
Symptoms Your urinary tract infection (UTI) is a KIDNEY INFECTION and must be treated as soon as possible. When Do I Need To See A Health-Care Professional?
- If you suspect you have a urinary tract infection, contact your health-care provider immediately. Obtain a urine culture from your doctor if you have recurrent urinary tract infections (UTIs). A more comprehensive examination or referral to a urologist may be recommended in the event that your UTIs continue to occur often. If you notice blood in your urine, contact your health-care provider as soon as possible.
How Long Should a UTI Last After Antibiotics?
Because UTI symptoms might persist even after the symptoms have subsided, you must complete the whole course of medicines. Most occurrences of simple urinary tract infections (UTIs) will require you to take a 3-day course of antibiotics as well as staying hydrated throughout the procedure. It is possible that some infections will require further treatment for up to 7-10 days. It is possible that your antibiotic course will last up to 2 weeks or more if your UTI is problematic. The length of time it takes to recuperate is determined by the following factors:
- Identifying the bacterium that is causing the ailment
- What kind of medication is being utilized
- Describe your medical history.
Pain and the desire to pee often are two symptoms that may disappear rather fast after taking antibiotics. However, it is critical to complete the whole course of antibiotics to ensure that the infection is entirely eradicated, as the illness might remain in your body for a long period of time.
Why should I take the full course of antibiotics?
Antibiotics begin to operate against the infection very immediately, and you may notice a difference in your symptoms within a few days. Antibiotics, on the other hand, take longer to totally eliminate the bacteria that is causing the infection. Unless you complete your antibiotic treatment, there is a danger that the germs may not be entirely eradicated, which may result in a recurrence of the illness. Alternatively, the bacteria may develop resistance to antibiotics and cease to react to treatment in the future.
Are antibiotics effective against UTI?
Antibiotics are effective in alleviating the symptoms of UTI. Antibiotics, according to one research, made participants feel much better very quickly:
- It took 1-3 days for the pain and burning to subside. Approximately 60% of the patients saw a resolution of their symptoms after one week.
Taking antibiotics can cause a variety of negative effects in some people, including the following:
- Nausea, diarrhea, acid reflux, headaches, rashes, and itching are all possible side effects.
Can I treat a UTI without antibiotics?
Your doctor is unlikely to offer UTI treatment unless you are also receiving antibiotic medication. Without antibiotic treatment, a bladder infection (cystitis) can progress over time, eventually leading to a more serious kidney infection (pyelonephritis). However, according to one research, minor UTIs may cure on their own without the need for medical intervention. If you have any doubts regarding the severity of your condition, you should consult your doctor about your treatment choices as soon as possible.
Failure to treat the problem swiftly might result in early birth and low birth weight in the baby.
What can cause UTI symptoms to persist after antibiotic therapy?
Most of the time, UTI symptoms go entirely following antibiotic therapy. Symptoms, on the other hand, may persist if:
- The germs are resistant to the medications that have been provided. It’s possible that an other species of bacterium, fungus, or virus is responsible for the infection. You do not have a UTI
- Instead, you have another medical ailment. For example, benign prostatic hyperplasia (BPH), uterine prolapse, and overactive bladder can all induce symptoms similar to urinary tract infection (UTI).
Because E coli is the most frequent bacterium that causes urinary tract infections, it is possible that your doctor recommended antibiotics that target E coli without first doing a urine culture. The antibiotic that will be most effective against the bacteria causing the illness should be determined by your doctor in the event that you suffer from recurring UTIs.
A urine culture and sensitivity test should be performed by your doctor in the event that you suffer from recurrent UTIs. In rare circumstances, underlying diseases might mimic the symptoms of a urinary tract infection. They are as follows:
- Kidney infection, kidney stones, vaginitis, Chlamydia, gonorrhea, genital herpes, bladder cancer, prostate cancer, and other conditions are all possible.
When it comes to pee, how much does the average adult pass each day? Answer may be found here. On May 28, 2021, a medical review was conducted. WebMD. What You Should Know About Antibiotics for Urinary Tract Infections. The University of California is a public research university in California. Infections of the urinary tract. InformedHealth.org. The Institute for Quality and Efficiency in Health Care is based in Cologne, Germany (IQWiG). Antibiotics are quite effective in the treatment of acute cystitis.
UCF stands for the Urology Care Foundation.
Can UTI Symptoms Linger After Antibiotics? What It Means & What to Do
In the treatment of urinary tract infections (UTIs), antibiotics are frequently utilized, and they can be quite successful. Occasionally, however, these antibiotics do not work, and there are a variety of reasons why this may be happening. Following antibiotic therapy, you may realize that your UTI’s symptoms have not subsided completely. In certain circumstances, they may be deteriorating worse yet. This article discusses why antibiotics may fail to work and when you should consult your doctor about extra testing if you are experiencing persistent UTI symptoms.
Antibiotics are the initial line of defense against most urinary tract infections.
This is because E.
Unfortunately, not all cases of urinary tract infection (UTI) react in the manner predicted.
- Your UTI might be caused by an antibiotic-resistant strain of bacteria
- It could be caused by another type of bacteria, fungus, or virus
- It could be caused by another ailment that has UTI-like symptoms
- It could be caused by an antibiotic-resistant strain of bacteria.
In the case of an antibiotic-resistant urinary tract infection (UTI), the bacterium that is causing the illness is not responsive to antibiotic therapy. This occurs when bacteria adapt as a result of repeated or continual antibiotic exposure. Antibiotic resistance is especially prevalent in those who have underlying medical disorders or frequent urinary tract infections (UTIs).
An unconfirmed urinalysis without an accompanying urine culture raises the possibility that the antibiotic given for your infection is not the most appropriate treatment for you. A UTI caused by a less common bacteria strain, or even a fungus or virus, can result in this type of complication. According to recent research, this technique may possibly be a contributing factor to antibiotic resistance.
In certain circumstances, urinary tract infections (UTIs) do not respond to medications because they are not actually UTIs. Instead, it is possible that another underlying illness is creating UTI-like symptoms. Some of the illnesses that might induce symptoms that are similar to those of a UTI are as follows:
- Acute cystitis, interstitial cystitis, overactive bladder, kidney infection, kidney stones, vaginitis, chlamydia, gonorrhea, trichomoniasis, genital herpes, bladder cancer, prostate cancer, and other conditions
Cystitis and kidney infections
Cystitis and kidney infection can both be caused by bacteria that originated in a urinary tract infection (UTI) and spread to the bladder or kidneys.
These forms of infections, including urinary tract infections (UTIs), are frequently treated with a course of antibiotics. However, several of the probable reasons of antibiotic failure in urinary tract infections (UTIs) are also applicable to these illnesses.
Sexually transmitted infections (STIs)
Additionally, common sexually transmitted infections (STIs), such as chlamydia and gonorrhea, can resemble some of the symptoms associated with urinary tract infections (UTIs). In the event of a STI infection, medications indicated for a urinary tract infection (UTI) are unlikely to be the most effective treatment for the illness. Additional testing should be performed by your doctor if you’ve been suffering UTI-like symptoms that haven’t responded to antibiotic treatment thus far. It’s likely that if you have a urinary tract infection that isn’t responding to antibiotic therapy, you’ll be subjected to more testing, which will likely begin with a urine culture to identify the bacteria that is causing the infection.
Some lifestyle modifications can also help to minimize the frequency of UTIs, as well as the intensity of the symptoms you experience.
- Make a change in your personal hygiene regimen. It’s possible that making a few little modifications to your hygiene routine may significantly reduce your risk of UTIs. Not holding in your urine, wiping from front to back, and urinating after intercourse are all examples of this. Drink plenty of water. That water is vital for maintaining good urinary health should come as no surprise. A high water consumption can assist in flushing germs from the urinary system, hence minimizing the chance of developing an infection. Increase the amount of cranberry juice you consume. Cranberries are a regularly recommended home remedy for urinary tract infections (UTIs). They can assist in decreasing the likelihood that bacteria will stick to the urinary system, hence decreasing the likelihood of infection
- Consume a large amount of fruits and vegetables. Fruits and vegetables include significant concentrations of vitamins and minerals, which help to maintain a healthy immune system. Make sure to include fruits and vegetables that are high in vitamin C, since this specific vitamin may help to minimize the risk of UTI. Take a probiotic supplement. Some probiotics, such as Lactobacillus acidophilus, may be beneficial in lowering the incidence of urinary tract infections. Additionally, probiotics can aid in the restoration of healthy bacteria in the body following a course of antibiotics. Take into consideration a supplement. Among the supplements being investigated as potential UTI therapies are cranberry extract and garlic extract, to name a few of examples. Think about including some of these into your daily routine to help minimize the incidence and severity of UTIs
Please keep in mind that these instructions work best for urinary tract infections (UTIs), bladder infections (bladder infections), and kidney infections (kidney infections), because all three illnesses are treated in the same way. You will most likely receive a different therapy if you have been identified with another underlying ailment that is causing your symptoms to manifest themselves. According to some study, the frequency of urinary tract infections (UTIs) may be associated with an increased risk of bladder cancer.
However, this does not rule out the possibility of a relationship between UTI-like symptoms and malignancy.
Discuss your symptoms with your doctor so that an accurate diagnosis may be established if you’re experiencing any of the signs and symptoms listed below.
Bladder cancer symptoms are very similar to those associated with urinary tract infections (UTIs). These symptoms, on the other hand, will not go away with antibiotic therapy and will instead get more severe as time goes on. Among these signs and symptoms are:
- Urination that is painful
- Frequent urination
- An increased need to pee
- Blood in the urine
- Urinary incontinence
- Discomfort in the belly or lower back
Prostate cancer, like bladder cancer, exhibits a number of symptoms that are similar to urinary tract infections. It is unlikely that prostate cancer will react to antibiotics, and the symptoms can get more severe over time. Symptoms of prostate cancer include, but are not limited to:
- Erectile dysfunction, frequent urination, a decreased urine flow, blood in the urine, pelvic, lower back, and chest discomfort are all symptoms of kidney disease.
Most urinary tract infections (UTIs) are resolved rapidly with a course of antibiotics, with the majority of UTI symptoms disappearing within a few days. Sometimes, recurrent UTI-like symptoms might be an indication of a more serious problem, such as antibiotic resistance, inappropriate therapy, or an underlying medical condition that requires treatment.
You should always consult with your doctor if you are experiencing symptoms of a urinary tract infection (UTI) that do not respond with antibiotic therapy.
Treating UTIs: Antibotics, Medication, and Home Remedies
Yes. While taking antibiotics is still considered the gold standard in UTI therapy, there are certain things you may do at home that can assist ease symptoms as well as the need for medical attention. These are some examples:
- Make sure you drink lots of water. Drinking at least six to eight 8-ounce glasses of water daily will help flush out germs that might cause urinary tract infections, allowing you to heal more quickly. Furthermore, the more you drink, the more frequently you will need to urinate
- Urinate often. Each time you empty your bladder, you are contributing to the removal of germs from your system
- Try using heat. Application of a heating pad to your pubic area for 15 minutes at a time will help alleviate some of the pressure and pain associated with UTI-related inflammation and irritation. Make some changes to your clothes. Wearing loose cotton garments and underwear might assist you in recovering from a urinary tract infection. (22)
- Make the switch to fragrance-free products. According to the National Institute of Diabetes and Digestive and Kidney Diseases, you should make sure that your personal hygiene items are fragrance-free to avoid further aggravation. (22)
- Eliminate some irritants from your diet. Various substances such as caffeinated beverages, alcoholic beverages, spicy foods, raw onions, citrus fruits, carbonated beverages with artificial sweeteners, and nicotine can irritate your bladder and make it more difficult for your body to repair, according to the Cleveland Clinic. (23)
8 Home Remedies for Urinary Tract Infections (UTI) Symptoms (Related)
What About Cranberry Juice for UTI?
It has long been believed that drinking cranberry juice can aid in the prevention and treatment of urinary tract infections. While it is true that cranberries contain an active element (proanthocyanidins, or PACs) that can help prevent germs from adhering to the urinary system, there is currently no proof that cranberry products can help cure a urinary tract infection. In part because products such as cranberry juice or cranberry capsules are not deliberately made with the same number of phytochemicals that have shown promise in laboratory research, one of the reasons is that Furthermore, according to a 2019 paper published in the Journal of Urology, “the availability of such medicines to the general population is a significant constraint to the use of cranberries for UTI prevention outside of the research context.” (2) Overall, there is a dearth of high-quality research on the issue of disease prevention.
For example, according to a 2016 study published in The Journal of the American Medical Association, daily ingestion of cranberry capsules among female nursing home patients did not result in a substantial reduction in the incidence of urinary tract infections (UTIs).
After all, consuming enough of liquids helps to dilute your urine and encourage more frequent urination, both of which are beneficial in flushing germs from the bladder.
Those with diabetes, on the other hand, should be aware of the high sugar content of fruit juice.
What Over-the-Counter Treatment Options Are Safe To Use?
In addition to antibiotics, your doctor may advise you to take phenazopyridine (PhP) (AzoUrinary Pain Relief, Pyridium). During the time that you are waiting for the antibiotics to work, you can use this over-the-counter (OTC) drug to relieve the discomfort associated with urinating. (Please be advised that the medication will cause your urine to become bright orange.) Another popular over-the-counter UTI treatment is Cystex, which contains a combination of methenamine, sodium salicylate, and benzoic acid and is also intended to relieve discomfort.
They are not intended to be a substitute for the usage of antibiotics.
(25) If you have a UTI and are pregnant or nursing, you should contact with your healthcare professional before using Cystex, even though both medicines are usually regarded to be safe. Additionally, keep in mind that the FDA has not evaluated the effectiveness of these items. (26) and (27)
Can a UTI Go Away On Its Own?
Even though most patients with a UTI will be prescribed antibiotics, the truth is that uncomplicated urinary tract infections are often self-limiting, meaning they can potentially run their course without the need for antibiotic treatment, according to a 2018 report published in PLoS Medicine (Public Library of Science). (28) In reality, the same report (which was a randomized, controlled, double-blind trial) discovered that more than half of the women investigated achieved a UTI resolution without the need for antibacterial treatment.
For the time being, it is preferable to just wait until a positive urine culture is returned before treating with antibiotics.
What Happens When a UTI Goes Untreated?
With early diagnosis and appropriate treatment, the great majority of lower urinary tract infections do not progress to a more serious stage. According to the Mayo Clinic, if left untreated, a urinary tract infection (UTI) can have catastrophic consequences, including:
- Recurrent urinary tract infections
- Preterm delivery and poor birth weight
- When an untreated urinary tract infection (UTI) travels from the bladder to the kidneys, renal damage can result. If your urinary tract infection (UTI) spreads to your kidneys, you might develop sepsis, which could be fatal (29).
UTIs & Urine Bacteria in Aging: How to Know When Antibiotics Are Needed
Q: An elderly acquaintance, who is in her 90s, has been experiencing bacteria in her urine but has not shown any signs of illness. Due to her continued urinary infection after treatment with antibiotics, the doctor prescribed chronic antibiotics and sent her to urology for further evaluation and treatment. What can be done if an older woman has germs in her urine but no signs or symptoms of illness or disease? Is it possible to benefit from an urological consultation? A: I think this is a fantastic question.
Asymptomatic bacteriuria is something that every elderly person and family caregiver should be aware of.
- It is quite frequent among older folks. According to estimates, this disorder affects around 20% of women over the age of 80, and it also affects older men. It is more prevalent in older people
- The older the individual, the more common it is.
- It’s frequently mistaken for a urinary tract infection (UTI) (UTI). This can result in antibiotic therapy that is unneeded — and even hazardous
- If this happens,
- Antibiotics are rarely used in the treatment of this condition. As I’ll discuss further below, research has shown that treating asymptomatic bacteriuria does not result in individuals living better or longer lives. It is possible that this type of therapy is harmful: According to one study, medication increased the likelihood of subsequent (actual) UTIs as well as the likelihood of infection with antibiotic-resistant bacteria.
- In order to address this illness, it is normal practice for elders to be given antibiotics that are not necessary. Part of the reason for this is because identifying between this disease and a true UTI cannot be accomplished just via the use of a urine test. Instead, health care practitioners must take the time to speak with the patient — or with the patient’s family caregiver — and inquire as to whether any symptoms are present. The importance of this step cannot be overstated in a hectic clinical atmosphere.
Shortly put, this is another another one of those typical aging health conditions that may be easily handled unless older persons and family caregivers are aware of the importance of asking further questions. Asymptomatic bacteriuria should not be treated with antibiotics, according to the Infectious Disease Society of America’s number one “Choosing Wisely” advice. This is due to the high frequency with which antibiotics are provided incorrectly for this illness. This guideline is also included on the Choosing Wisely list created by the American Geriatrics Society.
This will save you — and your elderly loved ones — the expense and inconvenience of unneeded tests and antibiotic treatment.
- What is asymptomatic bacteriuria and how does it manifest itself
- What is the prevalence of asymptomatic bacteriuria
- How to distinguish between asymptomatic bacteriuria and a urinary tract infection
- Why asymptomatic bacteriuria does not generally necessitate the use of antibiotics
Final thoughts are some practical suggestions for older persons and their family caregivers who are concerned about urinary tract infections (UTIs) and/or germs in the urine.
What is asymptomatic bacteriuria?
Asymptomatic bacteriuria refers to the presence of considerable amounts of bacteria in the urine but the absence of any clinical symptoms of inflammation or illness. In other words, a positive urine culture will be obtained in the case of asymptomatic bacteriuria. It follows that if your healthcare practitioner collects a urine sample and sends it to a clinical laboratory for incubation, a significant amount of bacteria will develop within 1-2 days of the sample being taken.
This is referred to as bacterial “colonization” of the bladder when bacteria are present in the bladder but do not cause an inflammatory response to occur.
How common is asymptomatic bacteriuria?
In elderly persons, asymptomatic bacteriuria is more prevalent than many people — including professional doctors — may realize:
- The prevalence of this illness may be as high as 20% in women over the age of 80. In healthy males over the age of 75, 6-15 percent have been shown to carry bacteria, despite the fact that they do not have UTI symptoms. It has been shown that up to 50% of nursing home patients may have asymptomatic bacteriuria, according to studies.
This disorder affects 2-7 percent of premenopausal women as well as persons with diabetes, and it is more frequent in those with diabetes. In part, this is due to changes in the immune system, which tends to become less strong as individuals age or grow frailer. Asymptomatic bacteriuria becomes more prevalent as people become older, in part because it is associated with changes in the immune system. According to research, asymptomatic bacteriuria in older persons can occasionally resolve on its own, but it can also recur or continue in some cases.
How to tell the difference between asymptomatic bacteriuria and a UTI
By definition, there should be no UTI symptoms present in the case of asymptomatic bacteriuria. Urinary tract infection (UTI) can cause the signs and symptoms listed below.
- Urine causes burning or discomfort
- Increased frequency or urgency of urination
- And other symptoms. Urine that is bloody
- Pain in the lower abdomen, flank, or even back
(What about pee that is “cloudy” or “foul-smelling?” The absence of additional symptoms does not provide compelling evidence that this is a reliable method of identifying a potential UTI. Check out this article: “Cloudy, foul-smelling urine is not a diagnostic indicator for urinary tract infection in older adults.” A urine dipstick may be abnormal whether or not an older person has a clinical UTI, in part because certain aberrant readings that are suggestive of UTI may in reality just represent bacterial colonization of the bladder.
Symptoms are very required!
(That “confusion” would be referred to as delirium.) This is especially true for elders who are weak, elderly, or suffering from Alzheimer’s disease or another kind of dementia.
When an older individual with asymptomatic bacteriuria displays evidence of delirium but no other indicators of a urinary tract infection, experts are arguing whether it is acceptable to treat them for a suspected urinary tract infection.
Why asymptomatic bacteriuria usually doesn’t warrant antibiotics
Antibiotic treatment for asymptomatic bacteriuria does not appear to enhance health outcomes in the vast majority of persons, according to the findings of clinical investigations. Except for pregnant women and males preparing to undergo urological treatments, screening for and treatment of asymptomatic bacteriuria are recommended for everyone. A clinical research study conducted in 2015 discovered that treating asymptomatic bacteriuria in women was related with a significantly increased risk of having a urinary tract infection (UTI) later on, and that these UTIs were more likely to be caused by antibiotic-resistant bacteria.
- This ailment continues to receive incorrect treatment despite the professional agreement that antibiotics are not necessary in this situation.
- In terms of treating or managing urinary bacteria, does cranberries have a place?
- Quality clinical research has not been able to demonstrate that cranberry is useful for this purpose, despite several attempts.
- However, there was no difference in the number of bacteria or white blood cells found in their urine as a result of this.
It’s Time to Move On,” which summarized many other studies on cranberry for the prevention of UTI and concluded: “The evidence is convincing that cranberry products should not be recommended as a medical intervention for the prevention of urinary tract infections.” An individual has the option, of course, to utilize cranberry juice or pills for whatever purpose she or he sees fit.
Clinicians that support this type of behavior are doing a disservice to their patients.” A 2012 systematic evaluation of high-quality research studies on the use of cranberries for UTI prevention came to the same conclusion: cranberry products did not appear to be beneficial.
In light of the fact that cranberries are unlikely to cause harm to older persons, I have no objections to an older person or family caregiver wishing to consume them. However, I do not recommend it in any way whatsoever.
Practical tips on urine bacteria and possible UTIs in older adults
What should you do if you are concerned about germs in your urine or a suspected urinary tract infection (UTI) in light of this information? Here are some recommendations for older persons and their families:
- Learn about the prevalence of asymptomatic bacteriuria in elderly persons
- Asymptomatic bacteriuria is characterized by the presence of positive urine cultures despite the fact that the patient seems to be in good health.
- Recognize that treating asymptomatic bacteriuria will not benefit the patient and may even cause damage
- It is futile to try to “eradicate” germs from the bladder unless you are experiencing symptoms. Studies have shown that doing so raises your chance of developing a true UTI in the future, as well as your likelihood of becoming infected with bacteria that are resistant to medicines. Antibiotic therapy has a negative impact on the “good bacteria” in your stomach and other parts of your body. Research to better understand the function of the body’s normal bacteria (the “microbiota”) is still continuing, but preliminary findings show that changing the body’s microorganisms might have serious consequences. As a result, you should avoid using antibiotics unless there is a compelling reason to do so.
- When it comes to acquiring a urine culture, wait until you’re suffering indications of an impending UTI, such as discomfort when urinating or low abdomen ache.
- Some healthcare practitioners will do a urine culture “just to be sure” that they are not dealing with UTI. Sometimes patients and their families express a desire to do so. The problem with this approach is that all you may accomplish is discover evidence of asymptomatic bacteriuria (which then has a propensity to be treated incorrectly with antibiotics)
- A urine test for a probable urinary tract infection (UTI) should only be performed if an older person is having symptoms, according to experts. If a health care professional recommends a urine test and you are not experiencing signs of a urinary tract infection, find out why the test is being recommended.
If you are providing care for an older adult who has dementia or is otherwise prone to delirium, you should consider the following:
- It is important to recognize that it might be difficult to detect whether or not a person is having UTI symptoms.
- Attempting to do so before doing a urine culture or treating any germs discovered in the urine is still recommended by the experts.
- Take into consideration the opinion of certain specialists who feel that increasing confusion alone (with no fever or other indications of UTI) may not be a sufficient cause to treat a nursing care patient for a supposed UTI.
- This argument is explained in detail by a geriatrician in this quite fascinating article: UTI—Another Heavyweight’s Funeral
- “Urinary Tract Infection”—Another Heavyweight’s Funeral
The following are the advantages and disadvantages of treating asymptomatic bacteriuria in an elderly woman with 90 years of age: Benefits: Antibiotic therapy has not been shown to be beneficial in those who do not have clinical indications of a urinary tract infection. Burdens: Antibiotics are expensive and increase the number of pills a person must take. A danger of side effects, interactions with other drugs, hurting your body’s “good bacteria,” and the development of an illness that is resistant to antibiotics exists with the use of antibiotics.
- That’s all there is to it.
- And before you spend time chasing an urological consultation, be sure you get all of your questions answered.
- As a result, inquire with your physicians about the possibility of asymptomatic bacteriuria.
- (Unless you’re going to undergo a urological operation, in which case you shouldn’t.) You may even forward these peer-reviewed articles to your colleagues:
- The following are the advantages and disadvantages of treating asymptomatic bacteriuria in an elderly woman of 90 years of age: Benefits: If you don’t have any clinical indications of a urinary tract infection, there is no evidence that antibiotic therapy can help you. Antibiotics are expensive and add to the stress of taking pills. A risk of adverse effects, interactions with other drugs, damaging your body’s “good bacteria,” and the development of an illness that is resistant to antibiotics exists with the use of this prescription. Furthermore, because of the widespread abuse of antibiotics in society, we are breeding bacteria that are resistant to antibiotics everywhere we go. The end result is as follows: A positive urine culture in an older individual who has no symptoms should make you think twice before agreeing to therapy for the condition. And before you spend time requesting an urological consultation, make sure you have all of your questions prepared. To reiterate, a UTI is NOT caused by bacteria in the urine. To rule out asymptomatic bacteriuria, consult with your physicians. You should inform your doctor that the Infectious Disease Society of America, the American Geriatrics Society, and other specialists have determined that this illness should not be treated in older persons. You shouldn’t do this unless you’re about to have a urological procedure performed on you. Moreover, you can distribute the following peer-reviewed articles to your colleagues:
Is there anything you’d want to know about germs in the urine of older adults? Have you ever been treated for a shady urinary tract infection? Please share your thoughts and questions in the comments section below!
Sources consulted for the current review The Lab Tests Online Editorial Review Board and Nicole Amistani, BS CLS, MT (ASCP) conducted a review in 2019 for this publication. (30th of July, 2018) An Overview of Urine Culture. Kaiser Permanente is a health-care organization. Kaiser Permanente’s website, wa.kaiserpermanente.org, has further information. Accessed in May of this year. Brusch, J. et al (Updated July 19, 2018). Females are more susceptible to urinary tract infection (UTI) and cystitis (bladder infection).
- Available on the internet at Accessed in May of this year.
- The Causes of Urinary Tract Infections.
- Laboratory Methods in Clinical Diagnosis and Management, by Henry’s Clinical Diagnosis and Management.
- 28, Urine Examination at a Basic Level.
- Pincus, eds.
- Tietz Textbook of Clinical Chemistry and Molecular Diagnostics is a textbook that teaches clinical chemistry and molecular diagnostics.
‘Nader Rifai’ is the name of a fictional character created by author Nader Rifai.
Sources that have been used in previous reviews Clayton L.
Taber’s Cyclopedic Medical Dictionary is a medical dictionary published by Taber’s Cyclopedic Medical Dictionary.
Davis Company is based in Philadelphia, Pennsylvania.
Pagana, Kathleen D.; Pagana, Timothy J.; Pagana, Timothy J.
Pagana, Kathleen D.
Mosby’s Diagnostic and Laboratory Test Reference, 8th Edition, Mosby, Inc., Saint Louis, MO, pp 981-983.
Tietz Clinical Guide to Laboratory Tests, Fourth Edition is a clinical guide to laboratory tests written by Tietz.
Taber’s Cyclopedic Medical Dictionary is a medical dictionary published by Taber’s Cyclopedic Medical Dictionary.
Davis Company in Philadelphia, Pennsylvania.
BaileyScott’s Diagnostic Microbiology, Twelfth Edition, Mosby Elsevier Press, St.
It is important to understand how your urinary system works.
Available on the internet at The date of access was March 2009.
Existing Bacteriuria Screening Recommendations have been maintained.
Available on the internet at The date of access was March 2009.
Stanley Hellerstein, S.
(2008 September 17).
(Revised version published in November 2005.) A Methodical Approach to the Renal Patient The Merck Manual for Healthcare Professionals is a comprehensive resource for healthcare professionals.
Murata are co-authors of this paper (2007 May 17).
Medical News from Medscape.
McCarter, Y.S., E.M.
Hall, and M.
Cumitech 2C, Laboratory Diagnosis of Urinary Tract Infections, is a diagnostic tool for diagnosing urinary tract infections.
Sharp was in charge of the coordination.
Braunwald and colleagues; A.S.
Hauser and colleagues; D.L.
Jameson and colleagues (2005).
Pages 1715 and 1718 of the 16th Edition of McGraw Hill’s textbook.
Catheterized urine culture was performed.
Mosby’s Diagnostic and Laboratory Test Reference is a comprehensive resource for diagnostic and laboratory tests.
(On the 24th of May, 2012).
National Kidney and Urologic Diseases Information Clearinghouse, National Institute of Diabetes and Digestive and Kidney Diseases.
Urine Bacterial Culture, Aerobic Bacterial Culture Mayo Clinic is a medical center in Rochester, Minnesota.
The document is available online atAccessed on October 12, 2012.
If you have a urinary tract infection, do you need to see your doctor more frequently?
V 24(6):647-655, according to Medscape Today News.
Cystitis in females is a condition that occurs when the cervix becomes inflamed.
The document is available online atAccessed on October 12, 2012.
(in press) (2011 November 8).
The document is available online atAccessed on October 12, 2012.
Infections of the Urinary Tract in Adults.
Available online at the time of this writing (December 2015).
Mayo Medical Laboratories is an acronym that stands for Mayo Clinic Medical Laboratories.
Cystitis in females is a condition that occurs when the cervix becomes inflamed.
Available on the internet at The date of access was December 2015. (Saturday, July 23, 2015) Mayo Clinic is a medical center in Rochester, Minnesota. The Causes of Urinary Tract Infections. Available online at the time of this writing (January 2015).
A urine culture is a test that is used to identify microorganisms (such as bacteria) in the urine that may be responsible for the ailment. It is possible for bacteria to enter the urinary tract and produce an infection of the urinary tract (UTI). It is necessary to add a sample of urine to a chemical that encourages the development of germs. If no germs appear to be growing, the culture is considered negative. If germs proliferate, the culture is said to be positive. It is possible to determine the kind of germ by using a microscope or chemical testing.
This may be due in part to the fact that the female urethra is shorter and closer to theanus than the male.
Men also have an antibacterial substance in their prostate gland that helps to reduce their chance of developing prostate cancer.
Why It Is Done
When a urine culture is performed, it may be determined whether symptoms such as discomfort or burning when peeing are caused by a urinary tract infection (UTI). The test can also be used to detect the origin of a UTI, assist in determining the most effective therapy for a UTI, and assess whether the treatment has been effective.
How To Prepare
You will need to obtain a urine sample for testing purposes. You will need to consume enough water and refrain from peeing in order to be able to provide a urine sample. Because bacterial counts will be greater in the first pee of the day, the first urine of the day is the best. It is best not to urinate just before taking this test.
How It Is Done
It is possible that you will be requested to collect a clean-catch midstream urine sample for testing purposes.
Clean-catch midstream urine collection
This approach aids in protecting the urine sample from germs that are generally located on the penis or vaginal area of the subject.
- Before collecting the pee, wash your hands well. If the collecting cup has a lid, carefully remove it from the cup. Place the lid on the table with the inside surface facing up. Don’t let your fingertips come into direct contact with the interior of the cup
- Make sure the region surrounding your genitals is clean.
- Men should retract their foreskin if they have one, and wipe the head of their penis with medicated towelettes or swabs
- Women should spread open the vaginal folds of skin with one hand
- And men should retract their foreskin if they have one. Then she can use her other hand to wipe the region surrounding the urethra with medicated towelettes or swabs, which will relieve the pain. Ideally, she should clean the region from front to back in order to prevent bacteria from the anus from spreading over the urethra.
- Begin urinating into a toilet or urinal as soon as possible. While urinating, a lady should keep her vaginal folds apart
- Once the urine has flowed for several seconds, she should insert the collecting cup into the urine stream. Collect approximately 2 fl oz (59 mL) of urine without interfering with the flow of the urine. Move the cup out of the way of the urine flow. Do not allow the rim of the cup to come into contact with your genital area. It is not acceptable to have toilet paper, pubic hair, stool (feces), menstrual blood, or anything else in the urine specimen. Complete your urination into the toilet or urinal. Replace the lid on the cup with care and tighten it down. Then you should return the cup to the laboratory. If you collect the urine at home and are unable to make it to the lab within an hour, place it in the refrigerator.
Other collection methods
In order to obtain a urine sample, a health practitioner must insert a urinary catheter into the bladder of the patient. This procedure is often used to collect urine from a patient in the hospital who is severely unwell or who is unable to give a clean-catch sample using the traditional method. The use of a catheter to collect a urine sample lowers the likelihood of microorganisms from the skin or vaginal region becoming contaminated with the urine sample. It is possible to collect a urine sample from a tiny toddler or infant by utilizing a specific plastic bag that has been taped shut around the entrance (a U bag).
The bag is then carefully removed from the body.
(This procedure is referred to as a suprapubic tap.)
How long the test takes
It will only take a few minutes to complete the exam.
How It Feels
In most cases, there is no discomfort or suffering associated with this test.
There are no known dangers associated with undergoing this test.
The findings of a urine culture are normally available in one to three days. Some bacteria, on the other hand, take longer to proliferate in the culture. As a result, it is possible that results will not be accessible for many days.
|Normal:||No bacteria or other germs (such asfungi) grow in the culture. The culture result isnegative.|
|Abnormal:||Organisms (usually bacteria) grow in the culture. The culture result ispositive.|
As of September 23, 2020, the information is current. Author:Healthwise StaffMedical Review: E. Gregory Thompson, MD – Internal MedicineE. Gregory Thompson, MD – Internal Medicine Dr. Adam Husney is a Family Medicine specialist. Dr. Elizabeth T. Russo specializes in Internal Medicine. As of September 23, 2020, the information is current. Written by a member of the Healthwise teamMedical Review: E. Gregory Thompson, MD, Internal Medicine Dr. Adam Husney is a Family Medicine specialist. Dr. Elizabeth T.
Antibiotics for Urinary Tract Infections in Older People
Antibiotics are medications that have the ability to destroy germs. Antibiotics are frequently prescribed by doctors to treat urinary tract infections (UTIs). The following are the most common symptoms of UTIs:
- When you urinate, you get a scorching sensation
- A strong need to urinate frequently
Many elderly persons, on the other hand, receive UTI therapy despite the fact that they do not exhibit these symptoms. This has the potential to cause more harm than benefit. The reason behind this is as follows: When there are no signs or symptoms of a UTI, antibiotics are typically ineffective. Often, germs in the urine of elderly persons might be detected. This does not necessarily imply that they have a UTI. Doctors, on the other hand, may discover the germs during a normal test and administer medicines regardless.
- Even if they do not exhibit these symptoms, many older persons are treated for UTIs regardless of their age. More harm than good can result from this. The following are the reasons behind this conclusion: When there are no UTI symptoms, antibiotics are typically ineffective. Bacteria in the urine of older adults is not uncommon. A UTI does not necessarily imply that they are suffering from a urinary tract infection. Doctors, on the other hand, may discover the germs during a normal test and administer medicines anyway. In these cases, the antibiotic is ineffective.
Most older adults should not be examined or treated for a urinary tract infection (UTI) until they are experiencing UTI symptoms. And, if you do have a UTI and are treated for it, you won’t normally require another test to determine whether or not you are healed. If you have recurrence of UTI symptoms, you should get your urine tested or treated. Antibiotics have adverse effects, which you should be aware of. In addition to the above-mentioned adverse effects, antibiotics can cause fever, rashes, diarrhea, nausea and vomiting, headaches, tendon ruptures, and nerve damage.
- Antibiotics can destroy microorganisms that are considered “friendly” to the body.
- It can potentially result in additional infections, severe diarrhea, hospitalization, and even death if not treated promptly.
- These germs are more difficult to eliminate.
- It is possible that your doctor will have to attempt many antibiotics.
- The bacterium that is resistant to antibiotics might potentially be passed on to others.
- Antibiotics on prescription can range in price from $15 to more than $100.
When should elderly individuals take antibiotics for a urinary tract infection (UTI)? Antibiotics might be beneficial if you are experiencing symptoms of a UTI.
- Symptoms of a urinary tract infection include a painful, burning sensation when urinating and a strong desire to “go” frequently. Fever, chills, and disorientation are some of the other UTI symptoms that can occur in older persons. There is frequently pain on one side of the back below the ribs, as well as discomfort in the lower abdomen, along with these signs and symptoms. It is possible that the appearance or smell of the urine will alter.
Some types of surgery, such as prostate surgery and some treatments to remove kidney stones or bladder tumors, can induce bleeding in the urinary system. Prostate surgery and some procedures to remove kidney stones or bladder tumors are examples of such surgeries. If you are about to undergo this procedure, you may need to be tested for germs in your urine and treated accordingly. This report is intended to be used by you in conjunction with your health-care practitioner. Medical advice and treatment should always be sought in the first instance.
Consumer Reports published a report in 2017 titled The American Geriatric Society collaborated in the development of this resource.