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 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...