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
...ecognitio...
...: What are the Signs and Symptoms of UTIs?...
...signs: Presence of warning si...
...: Which Symptoms Are No Longer Considered To Be...
...evaluating for other potential causes of non-s...
...color or odor of urine:Changes such as dark, clo...
...fall is not considered a symptom of a urinary tra...
...n mental status:Current recommendations suggest...
Assessment
Assessment
STEP 3: Which Criteria Are Availab...
...: When Should A Diagnostic Test Be Sent For...
...Are The Best Methods For Urine Collection?...
Treatment
...eatment...
...Recognize When To Initiate Empiric An...
STEP 7: Choosing Empiric Antibiotics...
...calation of Antibiotics...
...Determining the Length of Therapy...
...Diagnosis and Treatment for Urinary Tract...
...nsensus Recommendations for Empirical...
...actors That May Predispose Residents wi...
Monitoring
...itoring
STEP 10: Monitoring of Individuals With a Ch...
...nitoring protocol includes frequent m...
...n Active Monitoring Order Set...
❑ Obtain vital signs (BP...
...nitoring of Individuals Treated and At R...
...Monitor vital signs, oral intake, cogniti...
...Monitoring the Nursing Home's Per...
...ollow the facility’s Quality Measure repo...
Appendices
Appendic...
...Loeb Minimum Criteria for Initiating Antibioti...
...ndix B: Suspected UTI SBAR Toolkit...
...Internal Delphi Consensus Criteria Deci...
...ternal Delphi Consensus Criteria Decisio...
...ix D: IOU Consensus Criteria Algorithm fo...
...endix E: Applying the CDC’s Core...