Urinary tract infection are amongst the most common complaints that a physician will see in the outpatient, as well as inpatient services (1). Predisposing factors include age (impaired bladder emptying, obstructive uropathy from prostatic disease and consequent surgical instrumentation), diabetes mellitus, urinary tract calculi and obstruction (2,3,5).
The incidence of bacteruria in diabetes is 2-4 times higher in Diabetics. They are also more likely to have severe complications, such as papillary necrosis, emphysematous pyelonephritis and perinephric abscess (2).
The prevalence of bacteruria among women over age 60 is 6-10%, whereas among men over age 60, it is 1-3% (5,6). The prevalence increases to about 20-35% in women over age 80 and to about 0-20% in men of that age (5,6). For women, don't forget that restoring estrogen locally can restore the normal vaginal epithelium and enable lactobacillus to return and restore the low vaginal pH defense mechaism (7).