Infections urinaires de l'homme âgé : prostatite aiguë ou colonisation urinaire ?

In men, urinary infections and colonization prevalence increase with age. Urinary colonization should be treated only before urologic surgery. In the case of diabetes, urinary catheter, or before elective total joint replacement, treatment of asymptomatic bacteriuria is not recommended. Febrile urinary infection should however prompt antibiotic therapy, after urine analysis, to limit complications. Empiric treatment relies on 3rd generation cephalosporin or oral fluoroquinolone (if not received previously). Treatment duration should not exceed 21 days in most cases to avoid side effects including the emergence of multi-resistant pathogens.