Diagnosis, Treatment, and Prevention of Urinary Tract Infections in Post-Acute and Long-Term Care Settings

Publication Date: January 15, 2020

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

...Recognition...

...STEP 1: What...

...gns: Presence of warning signs suc...


...STEP 2: W...

...luating for other potential causes of...

...or odor of urine:Changes such as dark, cloud...

...l is not considered a symptom of a urinary...

...hange in mental status:Current recommendation...


Assessment

...Assessment...

...S...


...STEP 4: Wh...


...STEP 5: What...


Treatment

...Treatm...

...ST...


...STEP 7: C...


...STEP 8: De-Escalati...


...STEP 9: Det...


Table 1. Diagnosis and Treatment for Urinary Tr...


...le 2. IOU Consensus Recommendations for Empiri...


...tors That May Predispose Residents with a...


Monitoring

...Monitoring...

...STEP 10: Monitoring o...

...e monitoring protocol includes frequent monito...

...Example...

...❑ Obtain vital signs (B...


...STEP 11: Mon...

...nitor vital signs, oral intake, cogniti...


...STEP 12: Mon...

...ollow the facility’s Quality Measure report re...


Appendices

...Appendices...

...Appendi...


...Appendix B:...


...Appendix...


...Appendix C: Int...


...Appendix D: IOU...


...Appendix E:...