Diagnostic value of symptoms and signs for identifying urinary tract infection in older adult outpatients: Systematic review and meta-analysis.
Gbinigie OA, Ordóñez-Mena JM, Fanshawe TR, Plüddemann A, Heneghan C.
J Infect. 2018 Jun 30. pii: S0163-4453(18)30190-7. doi: 10.1016/j.jinf.2018.06.012.
• Symptoms and signs traditionally associated with UTI (e.g. nocturia, urgency and abnormal vital signs) may have limited utility in diagnosing these infections in older adult outpatients.
• Disability in performing a number of acts of daily living may be better predictors of UTI; high quality studies should be conducted in this area to confirm this.
CEBM blog post: Taking the sting out of UTIs
August 24, 2018 Diagnosing Urinary Tract Infections in older adults – Can we take the sting out of it? Dr Oghenekome Gbinigie