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 (ASB) refers to the presence of bacteria (in quantitative counts ≥105 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...
...the Signs and Symptoms of UTIs?...
...arning signs: Presence of warn...
...P 2: Which Symptoms Are No Longer Considered To...
...evaluating for other potential causes of non-spec...
...or or odor of urine:Changes such as dar...
...not considered a symptom of a urinary...
...mental status:Current recommendations suggest th...
Assessment
...ssessment
...hich Criteria Are Available for the Diagnosis a...
...4: When Should A Diagnostic Test Be Sent For A Po...
...What Are The Best Methods For Urine...
Treatment
...reatment
...gnize When To Initiate Empiric Antibi...
...Choosing Empiric Antibiotics...
...Escalation of Antibiotics...
...EP 9: Determining the Length of Therapy...
...osis and Treatment for Urinary Tract Infections...
...Consensus Recommendations for Empirical Treat...
Table 3. Factors That May Predispose Re...
Monitoring
...nitoring...
...toring of Individuals With a Change in Conditi...
...itoring protocol includes frequent monito...
...an Active Monitoring Order Set...
...❑ Obtain vital signs (BP, Pulse, Resp Rat...
...onitoring of Individuals Treated and At Risk for...
...or vital signs, oral intake, cognition and func...
...P 12: Monitoring the Nursing Home...
...w the facility’s Quality Measure report...
Appendices
...pendices
Appendix A: Loeb Minimum Criteria for...
...pendix B: Suspected UTI SBAR Toolkit...
...Internal Delphi Consensus Criteria Decis...
...dix C: Internal Delphi Consensus Criteria Decision...
...dix D: IOU Consensus Criteria Algorithm...
...x E: Applying the CDC’s Core Elemen...