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Diagnostic value of symptoms and signs for identifying urinary tract infection in older adult outpatients: Systematic review and meta-analysis

O. Gbinigie, J. Ordóñez-Mena, T. Fanshawe, A. Plüddemann, C. Heneghan

Journal of Infection, 2018

33 citations

Abstract

Highlights • Older adults may present atypically with UTI and making a diagnosis can be difficult.• There is limited authoritative guidance on how older adult outpatients present with UTI.• 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.

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