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
...cognition
...e the Signs and Symptoms of UTIs?...
...ing signs: Presence of warnin...
...TEP 2: Which Symptoms Are No Longer Consider...
...luating for other potential causes of...
...n color or odor of urine:Changes such as d...
...:A fall is not considered a symptom of a urinary...
Change in mental status:Current recom...
Assessment
Assessme...
...ch Criteria Are Available for the Diagnosis and...
...P 4: When Should A Diagnostic Test Be Sent...
...at Are The Best Methods For Urine Collection...
Treatment
...reatmen...
...6: Recognize When To Initiate Empiric Antibiot...
...Empiric Antibiotics...
...De-Escalation of Antibiotics...
...ing the Length of Therapy...
...is and Treatment for Urinary Tract Inf...
...IOU Consensus Recommendations for Emp...
...3. Factors That May Predispose Residents...
Monitoring
...itoring
STEP 10: Monitoring of Individuals With...
...itoring protocol includes frequent moni...
...ample of an Active Monitoring O...
❑ Obtain vital signs (...
...Monitoring of Individuals Treated and...
...tor vital signs, oral intake, cognition a...
...TEP 12: Monitoring the Nursing Home'...
...lity’s Quality Measure report regarding UTIs for...
Appendices
...endices
...ppendix A: Loeb Minimum Criteria for Init...
...B: Suspected UTI SBAR Toolkit...
...pendix C: Internal Delphi Consensus Criteria...
...ix C: Internal Delphi Consensus Criteria Decisi...
...D: IOU Consensus Criteria Algorithm...
...plying the CDC’s Core Elements for Antib...