What are silent UTI symptoms in elderly?
In the elderly, UTIs often present with unusual symptoms such as confusion, sudden changes in behaviour, falls, or lethargy—rather than classic urinary signs.
Detailed Medical Explanation
Older adults with UTIs may not display the typical symptoms such as pain or frequency. Instead, they may have non-specific symptoms like confusion (delirium), agitation, falls, or general decline in function. These “silent” UTIs can go unrecognised and may quickly become severe. Early clinical assessment is vital. NHS: UTI in elderly.
Clinical Context
Clinics are alert to these atypical symptoms in elderly patients. Sudden confusion or behaviour change should prompt urgent medical review for possible UTI.
Evidence-Based Approaches
NHS and NICE guidelines highlight the importance of screening elderly patients for UTIs if confusion or sudden health changes occur.