What is the primary goal in treatment of hematuria and suspected infection in older patients?

The primary goal in the treatment of hematuria and suspected infection in older patients is to ensure rapid treatment of the infection. This approach is critical because older adults are at a higher risk for complications from urinary tract infections (UTIs), which can lead to significant morbidity and mortality if not addressed promptly. Quick intervention helps alleviate symptoms, prevents the infection from spreading, and reduces the risk of systemic involvement, which can be particularly challenging in this age group, who may have other comorbidities.

While confirming the diagnosis through imaging, identifying underlying malignancy, and monitoring kidney function are important aspects in the broader evaluation of hematuria, the immediate concern in the face of a suspected infection is to treat that infection swiftly to avoid complications. Thus, prioritizing prompt treatment aligns with the best practices for managing urinary infections in older patients.