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 are t...

...ing signs: Presence of war...


...STEP 2: Which Sympt...

...er evaluating for other potential causes of n...

...n color or odor of urine:Changes such as dark,...

...fall is not considered a symptom of...

Change in mental status:Current recommendati...


Assessment

...Asses...

...STEP 3: W...


...STEP 4: When Shoul...


...STEP 5: What Are The Be...


Treatment

...Treatm...

...STEP 6: Recognize When To I...


...STEP...


...STEP 8: De-Escalation...


...STEP 9: Determin...


...1. Diagnosis and Treatment for Urinary...


...OU Consensus Recommendations for Empi...


Table 3. Factors That May Predispose Res...


Monitoring

...STEP 10: M...

...ing protocol includes frequent monito...

...Example of an Act...

...❑ Obtain vital signs (BP,...


...STEP 11: Monitoring...

...itor vital signs, oral intake, cognitio...


...STEP 12: Mo...

...w the facility’s Quality Measure report...


Appendices

...Appendices...

...Appendix A: Loeb M...


...Appendix B: ...


...Appendix C: I...


...Appendix C: I...


...Appendix D: IOU Consen...


...Appendix...