Symptomatic bacteriuria in non-catheterized geriatric patients with urinary incontinence; the effect of short-term treatment with pivmecillinam or the combination pivmecillinam—pivampicillin

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Abstract
Non-catheterized geriatric patients (n=34) with urinary incontinence and dementia were treated with pivmecillinam or the combination pivmecillinam pivampicillin for symptomatic bacteriuria in a randomized double-blind study. Susceptible organisms disappeared from the urine within 48 h. Less susceptible organisms emerged from the fourth to fifth day. The difference between the two antimicrobial regimes was not significant. Results were, however, slightly better in the combination group. It is suggested that antimicrobial therapy of symptomatic bacteriuria in geriatric patients should be restricted to four to five days.