Diagnosis, Treatment, and Prevention of Urinary Tract Infections in Post-Acute and Long-Term Care Settings

Published: January 2020
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  • Key Points
  • STEP 1: What are the Signs and Symptoms of UTIs?
  • STEP 2: Which Symptoms Are No Longer Considered To Be Suggestive of UTI?
  • STEP 3: Which Criteria Are Available for the Diagnosis and Management of UTI in the PALTC Setting?
  • STEP 4: When Should A Diagnostic Test Be Sent For A Potential UTI?
  • STEP 5: What Are The Best Methods For Urine Collection?
  • STEP 6: Recognize When To Initiate Empiric Antibiotics
  • STEP 7: Choosing Empiric Antibiotics
  • STEP 8: De-Escalation of Antibiotics
  • STEP 9: Determining the Length of Therapy
  • STEP 10: Monitoring of Individuals With a Change in Condition But Who Do Not Meet Diagnostic Criteria for UTI (“Active Monitoring”)
  • STEP 11: Monitoring of Individuals Treated and At Risk for UTI
  • STEP 12: Monitoring the Nursing Home's Performance With Respect to UTIs
  • Appendices
    • Loeb Minimum Criteria for Initiating Antibiotics for Suspected UTIs
    • Suspected UTI SBAR
    • Internal Delphi Consensus Criteria Decision Tool for the Empiric Treatment of Suspected Urinary Tract Infection in Frail Older Adults WITH an Indwelling Urinary Catheter
    • IOU Consensus Criteria Algorithm for the Diagnostic Approach to Acute Simple (Uncomplicated) Cystitis in Non-Catheterized Nursing Home Residents
    • Applying the CDC’s Core Elements for Antibiotic Stewardship in Nursing Homes to Support the Diagnosis, Treatment and Prevention of Suspected UTIs
  • Reference List
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The Society for Post-Acute and Long-Term Care Medicine is the only medical specialty society representing the community of over 50,000 medical directors, physicians, nurse practitioners, physician assistants, and other practitioners working in the various post-acute and long-term care (PA/LTC) settings.

Description

This pocket guide attempts to define principles of practice that should produce high-quality patient care. It is applicable to specialists, primary care, and providers at all levels. This pocket guide should not be considered exclusive of other methods of care reasonably directed at obtaining the same results. The ultimate judgment concerning the propriety of any course of conduct must be made by the clinician after consideration of each individual patient situation. Neither IGC, the medical associations, nor the authors endorse any product or service associated with the distributor of this clinical reference tool.

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