Opinion: The complicated truth about urinary tract infections in the elderly

Recently, a former patient contacted me about his wife. “She had a recent stroke which has caused cognitive decline along with slow-growing dementia,” he told me via text. “Never, ever had a urinary tract infection in her life, she has now had four in the last three months. We have seen a urologist and of course, our primary and I would like to get your opinion on what we can do preventively.”

Little did he know there was nothing to do preventively — because she hadn’t experienced infections in the first place.

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