BACTERIAL RESISTANCE IN URINARY TRACT INFECTIONS IN THE ELDERLY

Abstract

Urinary tract infection (UTI) is a frequent pathology in the urological routine and its incidence increases in individuals aged over 65 years. In view of this, the prevalence of bacterial infections triggered the exaggerated and improper consumption of antibiotics, in such a way that it caused the increase of microorganisms resistant to several antibiotics, making treatment even more impossible. Thus, the present study aims to discuss the clinical evolution of UTI in geriatric patients, associating the main pathogens and mechanisms of multidrug resistance (ESBL) in its therapeutic aspect. This work is a systematic, descriptive review that used data through bibliographical research, with a quali-quantitative approach from publications of the last 10 years (2013 to 2023) in the following databases: Scientific Electronic Library Online – SCIELO, Google Scholar, National Library Of Medicine PUBMED, Sciencedirect and Minha Biblioteca da Universidade Tiradentes. The highest incidence of UTI cases are associated with Escherichia coli as the main uropathogen and the improper and continuous administration of antibiotics results in antimicrobial multidrug resistance. In view of this, the implementation of antibiotic administration programs, as well as measures to control and prevent UTIs, are efficient measures for epidemiological control, as well as the conciliation between positive ESBL microorganisms and their therapeutic approach.