Información del artículo
Resumen
Las infecciones del tracto urinario (ITU) son las infecciones más communes en el anciano y en el medio residencial. Sus formas de presentación pueden ser confusas, plantear dudas diagnósticas y predisponer al sobretratamiento. Su manejo y la prescripción de antibióticos son mejorables tomando conciencia del problema, formando al personal e implicando a todos los estamentos en la prevención, el cuidado de los pacientes y la mejora del tratamiento. Es necesario trabajar conjuntamente con el servicio de microbiología de referencia para conocer las resistencias del centro y consensuar unos criterios de diagnóstico y tratamiento. Con pautas sencillas, podemos utilizar más racionalmente los recursos terapéuticos disponibles y limitar la aparición de resistencias microbianas en la residencia.
Palabras clave:
Infecciones urinarias
Residencias de ancianos
Resistencias microbianas
Abstract
Urinary tract infections are more common in the elderly and in nursing homes. Their forms of presentation may be confusing, leading to diagnostic doubt and over-treatment. Management of these infections and antibiotic prescription could be improved by increasing awareness of the problem, providing staff with training, and involving all personnel in prevention, patient care and treatment improvement. Coordination with the reference microbiology service is required to determine resistance in each center and to establish diagnostic and treatment criteria. The use of simple protocols would aid the rational use of available therapeutic resources and limit the development of antimicrobial resistance in nursing homes.
Key words:
Urinary infections
Geriatric home
Antimicrobial resistances
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