Falls are the second leading cause of unintentional injury deaths worldwide. Adults older than 60 years of age suffer the greatest number of fatal falls. Older adults are also more likely to develop urinary tract infections (UTIs) than younger adults, and women are at higher risk than men. The connection between UTIs and falls in older adults is often overlooked, as UTI symptoms in older adults can differ from those in younger individuals. Symptoms like confusion, agitation, and frequent falls may indicate a UTI.

It was exciting to read about the latest FDA approval for a new antibiotic, Orlynvah, designed for uncomplicated urinary tract infections in adult women with limited or no alternative oral antibiotic treatment options. Why is this important? When a resident experiences frequent UTIs, bacteria can become resistant to the “usual” antibiotics, making infections more difficult to treat. This new oral tablet is effective against Escherichia coli, Klebsiella pneumoniae, and Proteus mirabilis—some of the most challenging bacteria.

Bottom line, when was the last time you reviewed your fall log focusing on residents who experience frequent falls? Could any of these residents be exhibiting signs of a UTI that are overlooked? Remember, few residents will tell you it “burns” when they urinate, but they will exhibit a change in condition—we just need to recognize it! Review your antibiotic and laboratory orders and involve your infection preventionist to compile statistics to bring to your next QAPI meeting. Recognizing the link between UTIs and falls in older adults could make all the difference. Preventing the next fall might be as simple as treating an underlying infection.

Stay well and stay informed!