Diagnosis, Treatment, and Prevention of Urinary Tract Infections in Post-Acute and Long-Term Care Settings
Key Points
Key Points
Definitions of Urinary Tract Infections (UTIs):
- Urinary tract infection (UTI) refers to an infection anywhere in the genitourinary tract.
- Cystitis: urinary symptoms are usually confined to the bladder/lower urinary tract.
- Pyelonephritis: More severe infection involving the renal parenchyma/upper urinary tract.
- Catheter-associated urinary tract infection (CAUTI): UTIs that develop in individuals with an indwelling urinary catheter.
- Asymptomatic bacteriuria (ASB5) refers to the presence of bacteria (in quantitative counts ≥10 cfu/mL) in an individual without signs or symptoms of infection that localize to the urinary tract. Individuals with ASB will have a positive urine culture with or without pyuria, defined as white blood cells on urinalyses.
Recognition
...ognition
...are the Signs and Symptoms of UTI...
...: Presence of warning signs such a...
...ch Symptoms Are No Longer Considered To...
...er evaluating for other potential causes of non...
...n color or odor of urine:Changes such as dark, clo...
...not considered a symptom of a urinary tract infect...
...ge in mental status:Current recommendation...
Assessment
...sessment...
...3: Which Criteria Are Available for the...
...When Should A Diagnostic Test Be Sent Fo...
...e The Best Methods For Urine Collection?...
Treatment
...atment...
...nize When To Initiate Empiric Antibiotics...
...ing Empiric Antibiotics...
...Escalation of Antibiotics...
...etermining the Length of Therapy...
...gnosis and Treatment for Urinary Tra...
...Consensus Recommendations for Empiri...
...ors That May Predispose Residents with a Urinar...
Monitoring
Monitori...
...10: Monitoring of Individuals With...
Active monitoring protocol include...
...e of an Active Monitoring Order...
...❑ Obtain vital signs (BP, Pulse,...
...Monitoring of Individuals Treated and At...
...Monitor vital signs, oral intake, cognition and...
...oring the Nursing Home's Perfo...
...ility’s Quality Measure report reg...
Appendices
...pendices
Appendix A: Loeb Minimum Criteria for Initiati...
...endix B: Suspected UTI SBAR Toolkit...
...dix C: Internal Delphi Consensus Criteria Dec...
...endix C: Internal Delphi Consensus Crite...
...ix D: IOU Consensus Criteria Algorithm fo...
...dix E: Applying the CDC’s Core Ele...