Abstract
To describe and analyze the epidemiology of clinical manifestations and drug therapy of UTI in elderly patients in home care. It’s a retrospective, cross-sectional study, based on analysis of medical records of elderly people home assisted, from supplementary health service. 59 patients, with mean age of 84 ± 9 year, were eligible for the study: female sex (83.1%), hypertension (49.1%), heart disease (42.3%) and diabetes (23.7%). The most frequent etiological agents were Escherichia coli (n = 66) and Klebsiella sp (n = 32). From bivariate analysis, there was positive relation (p <0.05) between: age with altered urine characteristics (p = 0.03); recurrent ITU with Alzheimer's disease (p = 0.01) and bed restriction with Parkinson's disease (p = 0.03). There was no significant relation between UTI and diabetes. There was predominance of UTI in the female sex. Changes in urine characteristics and mental state were the most prevalent symptoms. There was gradual relation between the progression of age with modifications in urine characteristics and recurrence. Immobility has been found to lead to progressive deterioration of several systems, especially the urinary system. The treatment is initially empirical and should be adjusted in accordance with antibiogram and culture results.