Interventions to manage urinary tract infection in the elderly
Abstract
The ageing population has led to an increase in urinary tract infections (UTIs) among older adults globally. UTIs are common in this population and are associated with morbidity, increased healthcare utilization, and over antibiotic use. The growing concern regarding antimicrobial resistance underscores the need to explore alternative interventions. This thesis aimed to identify and evaluate effective pharmaceutical interventions for managing UTIs in individuals aged 65 and older within healthcare settings. A qualitative descriptive literature review was conducted, encompassing both antimicrobial and non-antimicrobial interventions, to provide insight into current evidence-based practices. Data were collected from peer-reviewed articles from the CINAHL and PubMed databases. Qualitative content analysis was employed to identify key themes related to UTI management. The findings indicate that antimicrobial treatment remains the primary intervention, focusing on commonly prescribed antibiotics and their benefits and limitations. Antimicrobial stewardship programs were shown to enhance prescribing practices. Non-antimicrobial interventions, including cranberry products, methenamine Hippurate, and xyloglucan-based products, portrayed complementary or preventive strategies; however, the evidence regarding their effectiveness re-mains limited and disputable. In conclusion, antimicrobial interventions are essential but require careful management to ensure optimal practice and…
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