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

...ognition...

STEP 1: What are the Signs and Symptoms of UTIs?

Warning signs: Presence of warning...


...ch Symptoms Are No Longer Considered To Be Sugge...

...valuating for other potential causes of non-spe...

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

...ot considered a symptom of a urinary trac...

...hange in mental status:Current recommenda...


Assessment

...sessment

...3: Which Criteria Are Available for the Dia...


...Should A Diagnostic Test Be Sent For A Poten...


...Are The Best Methods For Urine Collec...


Treatment

Treatment

...Recognize When To Initiate Empiric A...


...P 7: Choosing Empiric Antibiotics...


...8: De-Escalation of Antibiotics...


...EP 9: Determining the Length of Therapy...


...e 1. Diagnosis and Treatment for Urinar...


...U Consensus Recommendations for Empirical Treatmen...


...ors That May Predispose Residents with a...


Monitoring

...itoring

...10: Monitoring of Individuals With...

...oring protocol includes frequent moni...

...of an Active Monitoring Order S...

...❑ Obtain vital...


...nitoring of Individuals Treated an...

...vital signs, oral intake, cognition and function...


...TEP 12: Monitoring the Nursing Home's...

...e facility’s Quality Measure report re...


Appendices

Appendice...

...pendix A: Loeb Minimum Criteria for I...


...uspected UTI SBAR Toolkit...


...Internal Delphi Consensus Criteria Decision...


...Internal Delphi Consensus Criteria Decis...


...D: IOU Consensus Criteria Algorithm for...


Appendix E: Applying the CDC’s Core Elements f...