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© 1982 Oxford University Press

research-article

TURNOVER OF BACTERIURIA IN OLD AGE

P. KASVIKI-CHARVATI, Chemist, B. DROLETTE-KEFAKIS, Statistician, P. C. PAPANAYIOTOU, Consultant and A. S. DONTAS, Head

Athens Home for the Aged Kifissla, Greece
Research Programme ‘Health Care of the Elderly’ Kifissla, Greece
Athens Home for the Aged Kifissla, Greece
Department of Medicine Accident Hospital Kifissla, Greece

Among 352 residents of a home for the elderly, who were fully mobile and devoid of most predisposing factors for bacteriuria, 19% of men and 27% of women had two positive cultures within two months. Positive conversion at one year among men and women negative at entry was 11% and 23% respectively, negative conversion of bacteriuries 22% and 27%. Subjects bacteriuric at entry but sterile at six months had a 77% (men) and 44% (women) reinfection rate at 12 months. The data indicate firstly that a significant proneness to infection does exist in old age, coupled with a lesser trend toward spontaneous cure; the latter is equal to that of younger ages. Thus, prevalence rises steadily in old age. Secondly a previous history of bacteriuria in a subject with currently sterile urine increases his chances of reinfection or recurrence two to seven times compared to those of subjects without past infection.


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