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Resources for the Comprehensive Geriatric Assessment based
Proactive and Personalised Primary Care of the Elderly

Time to dip the urinalysis test strips in the bin

1. Woodford HJ, Graham C, Meda M, et al.

Bacteremic urinary tract infection in hospitalized older patients: are any currently available diagnostic criteria sensitive enough? J Am Geriatr Soc 2011; 59: 567-8.


2. D’Agata E, Loeb MB, Mitchell SL.

Challenges assessing nursing home residents with advanced dementia for suspected urinary tract infections.

J Am Geriatr Soc 2013; 61: 62-6.


3. Ducharme J, Neilson S, Ginn JL.

Can urine cultures and reagent test strips be used to diagnose urinary tract infection in elderly emergency department patients without focal urinary symptoms?

CJEM 2007; 9: 87-92.


4. Woodford HJ, George J.

Diagnosis and management of urinary tract infection in hospitalized older people.

J Am Geriatr Soc 2009; 57: 107-14.


5. Scottish Intercollegiate Guidelines Network (SIGN).

Management of suspected bacterial urinary tract infection in adults.

Edinburgh: SIGN; 2012. (SIGN publication no. 88). Available at: (accessed 17th November 2017).


6. Nicolle LE.

Catheter-Related urinary tract infection: practical management in the elderly.

Drugs Aging 2014; 31:1­10.


7. Walker S, McGeer A, Simor AE, et al.

Why are antibiotics prescribed for asymptomatic bacteriuria in institutionalized elderly people? A qualitative study of physicians’ and nurses’ perceptions.

CMAJ 2000; 163: 273-7.


8. Juthani-Mehta M, Tinetti M, Perrelli E et al.

Role of dipstick testing in the evaluation of urinary tract infection in nursing home residents.

Infect Control Hosp Epidemiol 2007; 28: 889-91.


9. Gordon LB, Waxman MJ, MD, Ragsdale L, et al.

Overtreatment of presumed urinary tract infection in older women presenting to the emergency department.

J Am Geriatr Soc 2013; 61: 788-92.


10. Deville WLJM, Yzermans JC, van Duijn NP, et al.

The urine dipstick test useful to rule out infections: a meta-analysis of the accuracy.

BMC Urology 2004; 4: 4.


11. Zaman Z, Borremans Verhaegen AJ, et al.

Disappointing dipstick screening for urinary tract infection in hospital inpatients.

J Clin Pathol 1998; 51: 471-2.


12. Eidelman Y, Raveh D, Yinnon AM, et al.

Reagent strip diagnosis of UTI in a high-risk population.

Am J Emerg Med 2002; 20: 112-3.


13. Leman P.

Validity of urinalysis and microscopy for detecting urinary tract infection in the emergency department.

Eur J Emerg Med 2002; 9: 141-7.


14. Koeijers JJ, Kessels AGH, Nys S, et al.

Evaluation of the nitrite and leukocyte esterase activity tests for the diagnosis of acute symptomatic urinary tract infection in men.

Clin Infect Dis 2007; 45: 894-6.


15. Little P, Turner S, Rumsby K, et al.

Dipsticks and diagnostic algorithms in urinary tract infection: development and validation, randomised trial, economic analysis, observational cohort and qualitative study.

Health Technology Assessment 2009; 13: 19.


16. Royal College of Physicians.

Implementing FallSafe: care bundles to reduce inpatient falls. 2012.


17. Healey F, Monro A, Cockram A, et al.

Using targeted risk factor reduction to prevent falls in older in-patients: a randomised controlled trial.

Age Ageing 2004; 33: 390-5.


18. Stenvall M, Olofsson B, Lundstrom M, et al.

A multidisciplinary, multifactorial intervention program reduces postoperative falls and injuries after femoral neck fracture. Osteoporos Int 2007; 18: 167-75.


19. British Geriatrics Society. Continence, 2017.

Good practice guides


20. Yin P, Kiss A, Leis JA.

Urinalysis orders among patients admitted to the general medicine service.

JAMA Intern Med 2015; 175: 1711-3.



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Time to dip the urinalysis test strips in the bin

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