Urinary tract infections are more common in older adults than many people realise. They can also be more serious. Understanding the special risks and symptoms can help keep elderly loved ones safe and healthy.
Why UTIs Are More Common in Older Adults
As we age, our bodies change. The immune system becomes weaker. This makes it harder to fight off infections.
Older people may also have other health issues. Diabetes, kidney problems, and bladder issues can all increase UTI risk. Dehydration is another common cause. Many elderly people don’t drink enough water throughout the day.
For more advice on prevention, see our guide on bladder health tips for ageing adults.
Different Symptoms in Elderly People
The typical symptoms of a UTI include burning when you urinate, frequent trips to the toilet, and cloudy urine. But elderly people may show very different signs.
Older adults with UTIs might suddenly become confused. They may experience falls or dizziness. Some become more agitated or withdrawn. These symptoms can be mistaken for dementia or other age-related conditions.
This is why UTIs in elderly people are often missed. Family members and carers should watch for sudden changes in behaviour or mental state.
Common Risk Factors
Several factors make older people more vulnerable to UTIs:
Reduced mobility – People who can’t move easily may not empty their bladders fully. This allows bacteria to grow.
Catheters – Using a catheter increases infection risk significantly.
Incontinence products – Pads and adult nappies can trap moisture and bacteria.
Prostate problems – Enlarged prostates in men can block urine flow.
Weakened pelvic muscles – This is especially common in women after menopause.
Cystitis, or bladder inflammation, is particularly common in older women. It causes many of the same symptoms as UTIs.
Prevention Is Key
There are several ways to reduce UTI risk in elderly people:
Drink plenty of water throughout the day. Aim for six to eight glasses.
Go to the toilet regularly. Don’t hold urine in for long periods.
For women, always wipe from front to back. This stops bacteria spreading.
Keep the genital area clean and dry. Change incontinence products frequently.
Wear cotton underwear and avoid tight clothing.
When to Test and Seek Help
Early detection is important. If you notice sudden confusion, falls, or behavioural changes in an elderly person, consider a UTI.
Home testing kits make it easy to check for infections quickly. The Urine Infection Test (including Cystitis) UTI is a reliable option for home use.
However, elderly people with suspected UTIs should always see a doctor. They may need antibiotics quickly to prevent serious complications.
Untreated UTIs can lead to kidney infections or sepsis in older adults. These conditions can be life-threatening.
Final Thoughts
UTIs in elderly people require special attention. The symptoms are often different from younger adults. Quick diagnosis and treatment are essential.
Watch for sudden changes in mental state or behaviour. Keep elderly loved ones hydrated and maintain good hygiene. When in doubt, test early and consult a healthcare professional.
With proper care and awareness, many UTIs can be prevented or caught early. This makes a real difference to quality of life in older age.
