It's important to recognize that recurrent urinary tract infections that aren't culture positive could be a red flag for a sexually transmitted infection, especially in older adults. While it's common for older adults to experience urinary tract infections, it's important not to overlook the possibility of an underlying sexually transmitted infection.
Symptoms such as dysuria and genital discomfort should be taken seriously and investigated further, even if a culture doesn't grow out anything. Sexually transmitted infections such as chlamydia and herpes can often be asymptomatic or present with vague symptoms, making them easy to miss or dismiss as a simple urinary tract infection.
To ensure proper diagnosis and treatment, healthcare providers should be proactive in investigating the possibility of a sexually transmitted infection in older adults presenting with recurrent urinary tract infections. This may involve additional testing, such as nucleic acid amplification tests or serologic testing, and a thorough sexual history.
By being vigilant and proactive in identifying and treating sexually transmitted infections in older adults, we can help to prevent the spread of these infections and promote overall health and well-being in this population. #STIs #UTIs #OlderAdults #SexualHealth #ProactiveCare
Shannon Dowler is a family physician and author of Never Too Late: Your Guide to Safer Sex after 60.
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