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UTIs in the elderly often go overlooked. People in nursing homes are known to have a higher rate of UTIs due to immobility, dependence on others, use of a catheter, or incontinence. 1 in 20 residents develops a UTI each month. As we age, the consequences of an untreated UTI become more critical, and can even result in death if ignored for too long. UTIs are caused when infectious bacteria makes its way into the urinary tract, which is one of our body's primary waste disposal systems. When our brains are functioning normally, the urinary tract is able to reliably receive the signals that allow it to function. Throw in the neurodegeneration from dementia or Alzheimer’s and that’s when things start to get worrisome. Some signs of a UTI can be discolored urine, urine that isn’t light yellowish/straw in color, urine with a strong ammonia odor, a burning or stinging sensation while urinating, or the urge to urinate frequently but producing very little each time. Risk factors can include not fully emptying the bladder when voiding or poor hygiene practices - women should wipe front to back.

Some ways to avoid UTIs are to stay properly hydrated, avoid sugary beverages, and to urinate both before and after sex. Elderly people afflicted with a UTI are often more agitated or stressed than usual and may not be able to fully articulate what they are feeling. It is important to therefore be mindful of the early warning signs and get a urine test at the earliest possibility. Any delays in testing can lead to delays in treatment and as we stated, UTIs can have fatal consequences if untreated. And one last thing: if you or your person are prescribed antibiotics for a UTI, make sure to complete the entire course - don’t just stop once you feel better. We’re serious.

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