Urinary tract infection (UTI) is the most common bacterial infection in the elderly. The objective was to determine the frequency of urinary tract infection in the elderly subjects in the nephrology department of Donka University Hospital. Methods: The study involved patients aged 65 years and over with a urinary tract infection confirmed by the biology admitted to the Nephrology Department for a period of 6 months from July 01 to December 31, 2023. The study variable focused on identifying the bacteria in the urine of the patients. We looked for associated comorbidities: high blood pressure, diabetes, HIV and chronic kidney disease. Result: Of the 38 patients with urinary tract infection, there were 18 men (47.37%) and 20 women (52.63%), the sex ratio was 0.9. The mean age was 73 +/？ 8 years, the age group 65 - 70 years was the most common. The clinical examination showed in the general signs the association of chills and fever in 23 cases (60.5%), urinary burning 19 (50%). Urinary signs were dominated by suprapubic pain 15 (39.5%), gross hematuria 9 (23.7%), pyuria 18 (47.4%), suspibic pain 15 (39.5%). Conclusion: Urinary tract infection was more common in women than in men. Housewives are the socio-professional category most affected by urinary tract infections. The germ isolated was Escherichia coli in 36.8%.
References
[1]
Gonthier, R. (2000) Infections urinaires du sujet âgé. RevuedeGériatrie, 25, 95-103.
[2]
Hmaidi, B.B.D., Boussema, F., Aydi, Z., Baili, L., Ketari, S., Rhouma, S.B., et al. (2011) Les infections urinaires chez les personnes âgées. La TunisieMédicale, 89, 920-923.
[3]
Fougère, B., Gaillat, J., François, P., Cambau, E., Corroyer, B., de Wazières, B., et al. (2012) Adequacy to the Recommendations in Urinary Tract Infections: A Multicenter Transversal Survey in Hospitalized Patients Aged over 75 Years. GériatrieetPsychologieNeuropsychiatrieduViellissement, 10, 9-15. https://doi.org/10.1684/pnv.2012.0336
[4]
Cortese, Y.J., Wagner, V.E., Tierney, M., Devine, D. and Fogarty, A. (2018) Review of Catheter-Associated Urinary Tract Infections and inVitro Urinary Tract Models. JournalofHealthcareEngineering, 2018, Article ID: 2986742. https://doi.org/10.1155/2018/2986742
[5]
Benammar, S., Hamouda, R.A. and Segueni, A. (2021) Infections urinaires du sujet âgé: Aspects cliniques et facteurs de risque d’infection à Entérobactéries résistantes aux fluoro-quinolones.
[6]
Bouza, E., García Navarro, J.A., Alonso, S., Duran Alonso, J.C., Escobar, C., Fontecha Gómez, B.J., et al. (2023) Infection Control in Long Term Care Institutions for the Elderly: A Reflection Document on the Situation in Spain. RevistaEspañoladeQuimioterapia, 36, 346-379. https://doi.org/10.37201/req/002.2023
[7]
Kettani Halabi, M., Lahlou, F.A., Diawara, I., El Adouzi, Y., Marnaoui, R., Benmessaoud, R., et al. (2021) Antibiotic Resistance Pattern of Extended Spectrum Beta Lactamase Producing Escherichia Coli Isolated from Patients with Urinary Tract Infection in Morocco. FrontiersinCellularandInfectionMicrobiology, 11, Article ID: 720701. https://doi.org/10.3389/fcimb.2021.720701
[8]
Fonogoro Delaye, A. (2020) Aspects épidémiologique, clinique et Bactériologique des infections urinaires dans le service de Néphrologie du CHU Point G. Bamako, Université des Sciences, des Techniques et Technologies de Bamako.
[9]
Coudert, M., Pépin, M., de Thezy, A., Fercot, E., Laycuras, M., Coudert, A., et al. (2019) Présentation clinique et performance de la bandelette urinaire pour le diagnostic d’infection urinaire en population gériatrique. LaRevuedeMédecineInterne, 40, 714-721. https://doi.org/10.1016/j.revmed.2019.06.010
[10]
Haber, N., Paute, J., Gouot, A., Sevali Garcia, J., Rouquet, M., Sahraoui, L., et al. (2007) Incidence et caractéristiques cliniques des infections urinaires symptomatiques dans un hôpital gériatrique. Médecine et Maladies Infectieuses, 37, 664-672. https://doi.org/10.1016/j.medmal.2006.12.004
[11]
Bah, I., Diallo, A.B., Diallo, A., Bah, O.R., Barry, K., Kanté, D., et al. (2009) La lithiase du bas appareil urinaire: Analyse rétrospective de 111 cas au CHU de Conakry. AfricanJournalofUrology, 15, 38-43. https://doi.org/10.1007/s12301-009-0008-5
