In an Older, Functionally or Cognitively Impaired Patient, Which Nonlocalizing Symptoms Distinguish ASB From Symptomatic UTI? 1. In older patient...

In older, functionally or cognitively impaired patients, the nonlocalizing symptoms that distinguish asymptomatic bacteriuria (ASB) from symptomatic urinary tract infection (UTI) are: 1. Delirium or acute mental status change: In older patients with functional and/or cognitive impairment, if they have bacteriuria and delirium without local genitourinary symptoms or other signs of infection, it is recommended to assess for other causes and observe them carefully instead of administering antimicrobial treatment. 2. Falls: In older patients with functional and/or cognitive impairment, if they have bacteriuria without local genitourinary symptoms or other signs of infection, and they experience a fall, it is recommended to assess for other causes and observe them carefully instead of administering antimicrobial treatment for bacteriuria. These recommendations are based on strong evidence but with low-quality evidence. It is important to consult a healthcare professional for a proper diagnosis and treatment plan.