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The Rational Approaches of Urinary Tract Infections Therapy in Elderly (Pendekatan Rasional Terapi Infeksi Saluran Kemih pada USILA/Usia Lanjut)

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Aging may affect functional and structural changes of the urinary tract which modify the response against infection. Structural changes in elderly such as prostate hypertrophy, urinary tract stone, the use of catheter, and the presence of cystoceles should be treated properly. Attention should be paid on functional abnormalities in elderly may also play a role in the changes. Those factors make the treatment of urinary tract infections in elderly have to be carried out more radically. Complicated urinary tract infections, infections in males with prostate hypertrophy, and myelonephritis need prolonged treatment. Recurrent urinary tract infections in female elderly patients need early propylactic treatment. Doing a culture of the causative microorganisms and a sensitivity test for the appropriate antibiotics shoulds be taken into consideration in the selection of the antibiotics. Flouroquinolones and cephalosporins seem to be drugs of choice in multiresistant and severe cases.

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Berkala Ilmu Kedokteran,28(1)1996:52-56

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: ., 1996

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geriatrics
urinary tract infections

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