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
...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:...