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Urinary tract infection in older adults in long-term care facilities
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- Clinical and laboratory assessment is needed to establish a diagnosis of urinary tract infection
- The prevalence of asymptomatic bacteriuria and pyuria is high among older adults
- Urine dipstick testing can be used to exclude urinary tract infection
- There are risks associated with treating asymptomatic bacteriuria
- Altered mental status in patients with suspected urinary tract infection should prompt further investigation
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