OBJECTIVES: To document the prevalence of asymptomatic @entity793 in @entity1 in one large long-term care facility, and describe clinical outcomes in initially bacteriuric and nonbacteriuric residents during prospective observation encompassing one year. METHODS: @entity1 enrolled in the study were residents of the Haim-Shoham Geriatric Center, a long-term care institute with 800 inhabitants. Twenty @entity1 were related randomly for study enrollment on each of the ten wards. A urine culture was obtained from the enrolled @entity1 . A second culture was obtained within one week if the initial culture grew >or= 10(5) colony-forming units per milliliter (cfu/ml) of at least one uropathogen. Demographic data and comorbidities, as well as most recent laboratory results, were recorded for all @entity1 enrolled. Subjects were followed prospectively for one year or until @entity204 . Clinical events and usage of antibiotics were recorded. In @entity1 with asymptomatic @entity793 , repeated urine cultures were obtained every two months. RESULTS: Eighty-five (43.3%) of a total of 196 elder residents screened presented asymptomatic @entity793 . There were no differences between @entity1 with and without asymptomatic @entity793 in age, gender, and underlying diseases. @entity1 with asymptomatic @entity793 were significantly more bed-ridden (91.7% vs. 82.1%, P = 0.05); demented (78.8% vs. 59.8%, P = 0.03); and @entity322 (93% vs. 71.4%, P < 0.0001) and bowel (85.8% vs. 59.3%). During one year of prospective observation, bacteriuric @entity1 had a mortality rate of 25.9%, compared to 7.1% for nonbacteriuric (P < 0.0001). Mortality in the group with @entity793 was higher due to both @entity293 and other causes. CONCLUSIONS: In our population, asymptomatic @entity793 was associated with increased functional impairment and increased mortality over 12 months. The increased mortality, however, was not fully attributable to @entity293 .

Asymptomatic XXXX in institutionalized elders in Israel.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity322 :: ('MESH:D014549', 'Disease') :: ['incontinent of urine'] @entity793 :: ('MESH:D001437', 'Disease') :: ['bacteriuria'] @entity204 :: ('MESH:D003643', 'Disease') :: ['death'] @entity293 :: ('MESH:D014552', 'Disease') :: ['urinary infection']
@entity793 :: (MESH:D001437,Disease) :: ['bacteriuria']
