Ivth Medical Clinic of the University of Medicine and Pharmacy Victor Babes, Timisoara, Romania
Objective: Urinary tract infection (UTI) is a very common finding in elderly patients. Hypertension is one of the frequent complications of a chronic form of an upper urinary tract infection. The aim of this study is to establish the relationship of hypertension and urinary tract infection in elderly patients.
Design and Methods: The study was carried out on a group of 333 patients admitted, in a 3 years period, in the IVth Medical Clinic of the University of Medicine and Pharmacy “Victor Babes” Timisoara. The patients were diagnosed with one of the clinical forms of urinary tract infection. The patients were aged between 65 and 92 years. Of them 16% were men and 84% were women. We performed in all patients a guided anamnesis, a complete clinical exam, and standard biological and imaging tests.
Results: Of all patients 65,8% had no hypertension at admission and also had no history of hypertension, 24,9% had a history of hypertension longer then the history of UTI, and just 9,3% of the patients with UTI had no history of hypertension but had hypertension at admission. We also observed that hypertension was present just in patients with chronic obstructive or non-obstructive pyelonephritis.
Conclusions: It is very difficult, to establish in elderly, the amount of patients who develop hypertension due to chronic pyelonephritis, because in this age atherosclerosis is also incriminated in the ethiopathogeny of hypertension.