Urinary tract infections in older men

Key Clinical PointsUrinary Tract Infections in Older Men The prevalence of bacteriuria and the incidence of urinary tract infection are substantially higher among older men than among younger men. The majority of older men with urinary tract infection have underlying urologic abnormalities. Effective treatment of infection requires determining whether the site of infection is the kidney, bladder, or prostate. Effective management of symptomatic episodes requires selection of antimicrobial therapy on the basis of urine culture. Chronic bacterial prostatitis requires prolonged antimicrobial therapy (30 days). Men with recurrent episodes who do not have urologic abnormalities that can be corrected or identified may require long-term suppressive therapy with antimicrobial agents.