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
Recogniti...
...re the Signs and Symptoms of UTIs?...
...ning signs: Presence of warning si...
...P 2: Which Symptoms Are No Longer Considered T...
...aluating for other potential causes of n...
...color or odor of urine:Changes such as dark,...
...is not considered a symptom of a urinary t...
...mental status:Current recommendations...
Assessment
...sessment...
...Which Criteria Are Available for the...
...EP 4: When Should A Diagnostic Test Be Sent Fo...
...The Best Methods For Urine Collection?...
Treatment
...atment...
...e When To Initiate Empiric Antibiotic...
...EP 7: Choosing Empiric Antibiotics...
...P 8: De-Escalation of Antibiotics...
...rmining the Length of Therapy...
...Diagnosis and Treatment for Urinary...
...OU Consensus Recommendations for Em...
...ble 3. Factors That May Predispose Resid...
Monitoring
...nitoring
...: Monitoring of Individuals With a Change in Cond...
...ctive monitoring protocol includes fre...
...of an Active Monitoring Order...
...❑ Obtain vital sig...
...TEP 11: Monitoring of Individuals Treated and...
...tor vital signs, oral intake, cogniti...
...Monitoring the Nursing Home's Per...
...the facility’s Quality Measure report regarding...
Appendices
...pendice...
...oeb Minimum Criteria for Initiating...
...ppendix B: Suspected UTI SBAR Toolkit...
...pendix C: Internal Delphi Consensus...
...Internal Delphi Consensus Criteria Decis...
...U Consensus Criteria Algorithm for the D...
...E: Applying the CDC’s Core Elements for Antib...