@GTMPugh @jeremyfaust @reverendofdoubt The real proof would be a trial comparing the treatment of pyuria + AMS with abx vs placebo, but that trial doesn’t exist because everyone accepts the dogma that the encephalopathy improved because of the antibiotics
@jeremyfaust I can continue to link papers, of which there are MANY, but what is dangerous is saying someone is saying something very dangerous which is supported by IDSA and best available evidence based https://t.co/pALggYJUoF https://t.co/WvgIUDxjNG
@AlanaKinrich I'm curious if @Sonali_Advani had thoughts on this. My concern is that prevalence of bacteriuria is high in older patients and that it is more likely an incidental finding in patients with acute AMS than causative and may also lead to anchori
@bestof_ids @IdVilchez @HishamZenith @jasonroberts_pk @padstamundo @FeverStudies Would probably question the diagnosis of UTI as well. Confusion is not = symptomatic bacte-uria. https://t.co/nkw2tOPTpk
@gurami @psypharmacopeia @NPT_PharmD "The optimal solution to clarify this issue would be a RCT comparing the effect of antibiotics versus placebo in patients with new onset or worsening confusion and presence of bacteriuria while lacking specific urinary
The scientific evidence for a potential link between confusion and urinary tract infection in the elderly is still confusing https://t.co/D71IkpHTx6
Confused? So am I.
Mayne, S., Bowden, A., Sundvall, PD. et al. The scientific evidence for a potential link between confusion and urinary tract infection in the elderly is still confusing - a systematic literature review. BMC Geriatr 19, 32 (2019). https://t.co/DHJNtNvC4X D
@BaeBielle Also why does AMS cause "UriNarY TrACt InFecTioNs" 😂. https://t.co/YSr5cEtK8k <-- best article title
@Aaryn_Str8 @katie_thomas @gebeloffnyt @jbsgreenberg Although This was thought for years, new evidence suggest UTIs do not cause delirium as much as previously thought. Much of the behavioral changes seen in elderly more likely due to chronic dementia &
🔥 take: the UA that *could be* suggestive of UTI is likely not the cause of your geriatric patient's altered mental status. do a good work up, exclude other causes, even if that means you have to do an LP. https://t.co/pALggYJUoF
@rebekahmichaele @z_lind_z @Glacialinertia @lavendrmenace @pbvdc @knownbastard @pangmeli It appears that the literature doesn't even agree on whether there is a causal link, let alone a mechanism https://t.co/YHyodXAgox https://t.co/ulEdDFn3EC
The scientific evidence for a potential link between confusion and urinary tract infection in the elderly is still confusing - a systematic literature review https://t.co/1cxxlaJxsb https://t.co/rtKWuzdCpo
Spoilers-UTI and AMS do not have a definitive link: https://t.co/2zHjLhV0q4
RT @osmachope: no es tan clara la relación entre ITU y la confusión https://t.co/Bsl7sP7269
"Esto lleva a sobrediagnosticar ITU, ma uso de antibiótico y yatrogenia. Sucre todo en residencias de ancianos"
RT @osmachope: no es tan clara la relación entre ITU y la confusión https://t.co/Bsl7sP7269
RT @osmachope: no es tan clara la relación entre ITU y la confusión https://t.co/Bsl7sP7269
RT @osmachope: no es tan clara la relación entre ITU y la confusión https://t.co/Bsl7sP7269
no es tan clara la relación entre ITU y la confusión https://t.co/Bsl7sP7269
The scientific evidence for a potential link between confusion and urinary tract infection in the elderly is still confusing - a systematic literature review https://t.co/IBVMxdMuXW
RT @TRECResearch: The scientific evidence for a potential link between confusion and urinary tract infection in the elderly is still confus…
The scientific evidence for a potential link between confusion and urinary tract infection in the elderly is still confusing - a systematic literature review https://t.co/IBVMxduTzm
UTIs - perhaps not a slam-dunk cause of AMS in the elderly? https://t.co/EHkv0ywWGx Calling my geri lifelines @CchristmColleen @msehgalmd @pep_si10 ! What say you?
RT @osmachope: La insoportable levedad de la relación entre confusión y la infección de orina https://t.co/Bsl7sP7269
RT @osmachope: La insoportable levedad de la relación entre confusión y la infección de orina https://t.co/Bsl7sP7269
RT @osmachope: La insoportable levedad de la relación entre confusión y la infección de orina https://t.co/Bsl7sP7269
RT @osmachope: La insoportable levedad de la relación entre confusión y la infección de orina https://t.co/Bsl7sP7269
RT @drjohnmorley: It is clear that some UTIs cause delirium. The real question is which ones. Measuring inflammatory cytokines in serum and…
RT @osmachope: La insoportable levedad de la relación entre confusión y la infección de orina https://t.co/Bsl7sP7269
RT @osmachope: La insoportable levedad de la relación entre confusión y la infección de orina https://t.co/Bsl7sP7269
The scientific evidence for a potential link between confusion and urinary tract infection in the elderly is still confusing - a systematic literature review | BMC Geriatrics | Full Text https://t.co/bcr9HqpTRU
RT @osmachope: La insoportable levedad de la relación entre confusión y la infección de orina https://t.co/Bsl7sP7269
RT @osmachope: La insoportable levedad de la relación entre confusión y la infección de orina https://t.co/Bsl7sP7269
RT @osmachope: La insoportable levedad de la relación entre confusión y la infección de orina https://t.co/Bsl7sP7269
RT @drjohnmorley: It is clear that some UTIs cause delirium. The real question is which ones. Measuring inflammatory cytokines in serum and…
RT @osmachope: La insoportable levedad de la relación entre confusión y la infección de orina https://t.co/Bsl7sP7269
It is clear that some UTIs cause delirium. The real question is which ones. Measuring inflammatory cytokines in serum and urine may help to answer this.
RT @osmachope: La insoportable levedad de la relación entre confusión y la infección de orina https://t.co/Bsl7sP7269
RT @osmachope: La insoportable levedad de la relación entre confusión y la infección de orina https://t.co/Bsl7sP7269
RT @osmachope: La insoportable levedad de la relación entre confusión y la infección de orina https://t.co/Bsl7sP7269
RT @osmachope: La insoportable levedad de la relación entre confusión y la infección de orina https://t.co/Bsl7sP7269
RT @osmachope: La insoportable levedad de la relación entre confusión y la infección de orina https://t.co/Bsl7sP7269
RT @osmachope: La insoportable levedad de la relación entre confusión y la infección de orina https://t.co/Bsl7sP7269
RT @osmachope: La insoportable levedad de la relación entre confusión y la infección de orina https://t.co/Bsl7sP7269
¿ITU 🦠➡️ confusión🌀?¿Bacteriuria = ITU? Todo paciente confuso no tiene una ITU y viceversa🔄, en los estudios revisados no se hace correcto dx 🧐¿tampoco en la práctica clínica? 🤔#geriatria #medicinainterna #MedEd
La insoportable levedad de la relación entre confusión y la infección de orina https://t.co/Bsl7sP7269
@Homerogac Porque la bacteriuria es muy frecuente en adultos mayores se encuentra la asociación. Insisto en que se debe buscar exhaustivamente otras causa y no partir con el urocultivo. https://t.co/h7ghoHKB4P https://t.co/S45kOTPLh0
@drdahhan Hopefully there would be other signs (urinary symptoms, fever, etc.). There's a grey area which is why I like the "careful observation" part IDSA uses. We often think the abx helped delirium when probably it was just time. see: https://t.co/wrj92
RT @osmachope: Quizás no todos los #delirium puedan deberse a la infeccion de orina #hoyen @BMC_series https://t.co/Bsl7sP7269
Medical students are taught when an elderly person has delirium to consider UTI as a possible cause... maybe time to question this association? https://t.co/IqxhFO7CJe #bmcgeriatr
UTIs and delirium - of interest, @woodford_henry and @dan26wales? https://t.co/SEIFUul2Wk
The scientific evidence for a potential link between confusion and urinary tract infection in the elderly is still confusing https://t.co/JLWLASEuz4 #bmcgeriatr
RT @thecurbsiders: New @BioMedCentral systematic review of evidence on UTI & confusion in elderly: "Current evidence appears insufficient…
RT @thecurbsiders: New @BioMedCentral systematic review of evidence on UTI & confusion in elderly: "Current evidence appears insufficient…
New @BioMedCentral systematic review of evidence on UTI & confusion in elderly: "Current evidence appears insufficient to accurately determine if UTI and confusion are associated, with estimates varying widely." What do you think, #GeriPal #IDtwitter
RT @AndrewElder: "As no study used an acceptable definition of confusion and UTI, an association could not be reliably established." https:…
"As no study used an acceptable definition of confusion and UTI, an association could not be reliably established." https://t.co/IREBmBmSI5 #bmcgeriatr
This is really confusing! https://t.co/zvfLX2obe7 #Dementia #infections #antibioticstewardship #antibiotics #Confused
Quizás no todos los #delirium puedan deberse a la infeccion de orina #hoyen @BMC_series https://t.co/Bsl7sP7269