{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T13:54:30Z","timestamp":1785419670195,"version":"3.56.0"},"reference-count":11,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2016,6,15]],"date-time":"2016-06-15T00:00:00Z","timestamp":1465948800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Geriatrics Gerontology Int"],"published-print":{"date-parts":[[2017,7]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>The number of elderly patients with pneumonia is significantly increasing as the populations in many countries age. Although elderly patients with pneumonia are at risk of developing urinary tract infections, no studies have examined the prevalence or the prognostic impact of this complication. The aim of the present study was to investigate the prevalence of comorbid bacterial pyuria and the impact on the prognosis of elderly patients with pneumonia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We retrospectively evaluated 132 patients aged &gt;65\u2009years who were hospitalized for pneumonia and who underwent a urinary sediment test on admission. The background characteristics, laboratory results and treatment regimens were documented, and the risk factors for the complication of bacterial pyuria and its association with 90\u2010day mortality in pneumonia patients were elucidated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 37 (28%) of 132 patients were complicated by bacterial pyuria. The patients with bacterial pyuria were more often women, showed a poorer performance status, were more frequently fed by percutaneous endoscopic gastrostomy, and more frequently used diapers and\/or a bladder catheter. Regarding first\u2010line drugs, 82.6% of the patients received beta\u2010lactamase inhibitors and extended\u2010spectrum penicillins. The use of a bladder catheter and a poor performance status were associated with bacterial pyuria. A multivariate analysis showed that a poor performance status was the only factor associated with 90\u2010day mortality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Bacterial pyuria did not affect the prognosis of patients who were treated with penicillin\u2010based regimens. Thus, broad\u2010spectrum antibiotics are not necessarily required for elderly patients with pneumonia complicated by urinary tract infection. <jats:bold>Geriatr Gerontol Int 2017; 17: 1076\u20131080<\/jats:bold>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ggi.12830","type":"journal-article","created":{"date-parts":[[2016,6,15]],"date-time":"2016-06-15T14:39:11Z","timestamp":1466001551000},"page":"1076-1080","source":"Crossref","is-referenced-by-count":3,"title":["Prevalence and prognostic influence of bacterial pyuria in elderly patients with pneumonia: A retrospective study"],"prefix":"10.1111","volume":"17","author":[{"given":"Hiroaki","family":"Oka","sequence":"first","affiliation":[{"name":"Department of Internal Medicine Tenshindo Hetsugi Hospital  Oita Japan"},{"name":"Clinical Research Center of Respiratory Medicine Tenshindo Hetsugi Hospital  Oita Japan"},{"name":"Respiratory Medicine, and Infectious Diseases Oita University Faculty of Medicine  Oita Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kosaku","family":"Komiya","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Tenshindo Hetsugi Hospital  Oita Japan"},{"name":"Clinical Research Center of Respiratory Medicine Tenshindo Hetsugi Hospital  Oita Japan"},{"name":"Respiratory Medicine, and Infectious Diseases Oita University Faculty of Medicine  Oita Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Minoru","family":"Ohama","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Tenshindo Hetsugi Hospital  Oita Japan"},{"name":"Respiratory Medicine, and Infectious Diseases Oita University Faculty of Medicine  Oita Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshiyuki","family":"Kawano","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Tenshindo Hetsugi Hospital  Oita Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masahiro","family":"Uchida","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Tenshindo Hetsugi Hospital  Oita Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hajime","family":"Miyajima","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Tenshindo Hetsugi Hospital  Oita Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomohiko","family":"Iwashita","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Tenshindo Hetsugi Hospital  Oita Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eiji","family":"Okabe","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Tenshindo Hetsugi Hospital  Oita Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tadao","family":"Kawamura","sequence":"additional","affiliation":[{"name":"Neurosurgery Tenshindo Hetsugi Hospital  Oita Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuhiro","family":"Yasuda","sequence":"additional","affiliation":[{"name":"Gastroenterological Surgery Tenshindo Hetsugi Hospital  Oita Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taisuke","family":"Matsumoto","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Tenshindo Hetsugi Hospital  Oita Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun\u2010ichi","family":"Kadota","sequence":"additional","affiliation":[{"name":"Respiratory Medicine, and Infectious Diseases Oita University Faculty of Medicine  Oita Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,6,15]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejim.2013.06.002"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/cc9328"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-150-1-200901060-00005"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1959.00270010082010"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1086\/427507"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198208193070802"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1086\/501886"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/crj.12245"},{"key":"e_1_2_7_10_1","first-page":"805","article-title":"Asymptomatic bacteriuria \u2010 prevalence in the elderly population","volume":"40","author":"Ariathianto Y","year":"2011","journal-title":"Aust Fam Physician"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2008.02073.x"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1086\/667743"}],"container-title":["Geriatrics &amp; 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