PDF(Pubmed)
Abstract：
Urinary tract infection (UTI) is common in older adults, mainly due to several age-related risk factors. Symptoms of UTI are atypical in the elderly population, like hypotension, tachycardia, urinary incontinence, poor appetite, drowsiness, frequent falls, and delirium. UTI manifests more commonly and specifically for this age group as delirium or confusion in the absence of a fever. This systematic review aims to highlight the relationship between UTI and delirium in the elderly population by understanding the pathologies individually and collectively. A systematic review is conducted by searching PubMed with regular keywords and major Medical Subject Heading (MeSH) keywords, Science Direct, and Google Scholar. The inclusion criteria consisted of studies based on male and female human populations above the age of 65 in the English language, available in full text published between 2017 and 2022. However, the exclusion criteria were animal studies, clinical trials, literature published before 2017, and papers published in any other language except English. A total of 106 articles were identified, and nine final studies were selected after a quality assessment, following which a valid relationship between delirium and UTI was identified in this systematic review.
摘要：
尿路感染（UTI）在老年人中很常见，主要是由于几个与年龄相关的危险因素。UTI的症状在老年人群中不典型，比如低血压,心动过速,尿失禁,食欲不振,困倦,经常跌倒,和谵妄.UTI在没有发烧的情况下更常见且特别地表现为谵妄或混乱。本系统评价旨在通过单独和集体了解病理来强调老年人群UTI与谵妄之间的关系。通过使用常规关键字和主要医学主题标题（MeSH）关键字搜索PubMed进行系统审查，科学直接，谷歌学者。纳入标准包括基于65岁以上男性和女性人群的英语研究，可在2017年至2022年之间发布全文。然而,排除标准是动物研究，临床试验,在2017年之前发表的文献，以及以英语以外的任何其他语言发表的论文。共识别出106篇文章,在质量评估后选择了九项最终研究，随后,本系统综述确定了谵妄与UTI之间的有效关系.
