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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-UTI.docx
June 01, 2021 - DiagnosisUrinary Tract Infections (UTI)
· First, ask about SYMPTOMS … frequency, urgency, suprapubic pain1,2
· Pyelonephritis: fever, rigors, flank pain1
· Catheter-associated UTI … subrapubic pain and fever; residents with catheters may not report dysuria, frequency, or urgency2,3
· If UTI … residents with a positive UA and/or culture until confirming that relevant symptoms are present.5-8
· UTI … days14
TMP/SMX or IV/oral cephalosporin: 10–14 days (10 days if early response)15,16
Complicated UTI
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/UTI-one-page.docx
November 01, 2019 - Urinary Tract Infections (UTI)
Urinary Tract Infections (UTI)
Diagnosis
· First, ask about SYMPTOMS … dysuria, frequency, urgency, suprapubic pain
· Pyelonephritis: fever, flank pain
· Catheter-associated UTI … local treatment recommendations here]
· [Place local treatment recommendations here]
· Complicated UTI … (UTI occuring in the presence of urologic abnormality, pregnancy, or urinary catheter or UTI in men) … · UTI in men in the absence of obstructive pathology (e.g., renal stone, stricture, enlarged prostate
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-UTI.docx
June 01, 2021 - DiagnosisUrinary Tract Infections (UTI)
· First, ask about SYMPTOMS … frequency, urgency, suprapubic pain1,2
· Pyelonephritis: fever, rigors, flank pain1
· Catheter-associated UTI … subrapubic pain and fever; residents with catheters may not report dysuria, frequency, or urgency2,3
· If UTI … residents with a positive UA and/or culture until confirming that relevant symptoms are present.5-8
· UTI … days14
TMP/SMX or IV/oral cephalosporin: 10–14 days (10 days if early response)15,16
Complicated UTI
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-UTI.docx
June 01, 2021 - DiagnosisUrinary Tract Infections (UTI)
· First, ask about SYMPTOMS … frequency, urgency, suprapubic pain1,2
· Pyelonephritis: fever, rigors, flank pain1
· Catheter-associated UTI … subrapubic pain and fever; residents with catheters may not report dysuria, frequency, or urgency2,3
· If UTI … residents with a positive UA and/or culture until confirming that relevant symptoms are present.5-8
· UTI … days14
TMP/SMX or IV/oral cephalosporin: 10–14 days (10 days if early response)15,16
Complicated UTI
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-UTI-facilitator-guide.docx
June 01, 2021 - Slide 4
Diagnosing a UTI
SAY:
Let’s review the signs and symptoms of a UTI.
… Laboratory tests alone do not tell us if someone has a UTI. … So, she does not have a UTI. She has asymptomatic bacteriuria. … If you choose, “He probably has a UTI because the urine is cloudy”, or “He probably has a UTI because … We learned in case 1 that dysuria alone can suggest a UTI.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-UTI-facilitator-guide.docx
June 01, 2021 - UTI. … Melba is having dysuria, or pain with urination, so she should be evaluated for a UTI. … Fourteen days is the longest course recommended to treat a UTI. … Since Billy is a male with a UTI, by definition he has a complicated UTI. … Additionally, the presence of a urinary catheter makes his UTI complicated.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/UTI-one-page.docx
November 01, 2019 - Urinary Tract Infections (UTI)
Urinary Tract Infections (UTI)
Diagnosis
· First, ask about SYMPTOMS … dysuria, frequency, urgency, suprapubic pain
· Pyelonephritis: fever, flank pain
· Catheter-associated UTI … local treatment recommendations here]
· [Place local treatment recommendations here]
· Complicated UTI … (UTI occuring in the presence of urologic abnormality, pregnancy, or urinary catheter or UTI in men) … · UTI in men in the absence of obstructive pathology (e.g., renal stone, stricture, enlarged prostate
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T4-Urinalysis_and_UTIs_Improving_Care-updated.pdf
October 01, 2016 - Suspected UTI SBAR Toolkit
Tool 4. … • A UTI is an infection in any part of your urinary system. … Signs and Symptoms of a UTI
• Question: What are the signs and symptoms of a UTI? … It may not be a UTI. … • What are some things we could do to help reduce residents’ risk of a UTI?
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T1-SBAR_UTI_Final.pdf
June 01, 2014 - __________________________________________
S Situation
I am contacting you about a suspected UTI … ____________________________________
¨ No ¨ Yes The resident is on Warfarin (Coumadin®)
Suspected UTI … Minimum criteria for a UTI must meet 1 of 3
criteria listed in box.
†† This is according to our understanding … The information is insufficient to indicate an
active UTI infection. 2751a_7/15
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-UTI-facilitator-guide.docx
June 01, 2021 - Slide 4
Diagnosing a UTI
SAY:
Let’s review the signs and symptoms of a UTI.
… Laboratory tests alone do not tell us if someone has a UTI. … So, she does not have a UTI. She has asymptomatic bacteriuria. … If you choose, “He probably has a UTI because the urine is cloudy”, or “He probably has a UTI because … We learned in case 1 that dysuria alone can suggest a UTI.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-UTI-facilitator-guide.docx
June 01, 2021 - Slide 4
Diagnosing a UTI
SAY:
Let’s review the signs and symptoms of a UTI.
… Laboratory tests alone do not tell us if someone has a UTI. … So, she does not have a UTI. She has asymptomatic bacteriuria. … If you choose, “He probably has a UTI because the urine is cloudy”, or “He probably has a UTI because … We learned in case 1 that dysuria alone can suggest a UTI.
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-UTI-facilitator-guide.docx
June 01, 2021 - UTI. … Melba is having dysuria, or pain with urination, so she should be evaluated for a UTI. … Fourteen days is the longest course recommended to treat a UTI. … Since Billy is a male with a UTI, by definition he has a complicated UTI. … Additionally, the presence of a urinary catheter makes his UTI complicated.
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-UTI-facilitator-guide.docx
June 01, 2021 - UTI. … Melba is having dysuria, or pain with urination, so she should be evaluated for a UTI. … Fourteen days is the longest course recommended to treat a UTI. … Since Billy is a male with a UTI, by definition he has a complicated UTI. … Additionally, the presence of a urinary catheter makes his UTI complicated.
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www.ahrq.gov/topics/urinary-tract-infection-uti.html
Topic: Urinary Tract Infection (UTI)
AHRQ has toolkits for reducing catheter-associated urinary tract
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T1-SBAR_UTI_Final.pdf
June 01, 2014 - __________________________________________
S Situation
I am contacting you about a suspected UTI … ____________________________________
¨ No ¨ Yes The resident is on Warfarin (Coumadin®)
Suspected UTI … Minimum criteria for a UTI must meet 1 of 3
criteria listed in box.
†† This is according to our understanding … The information is insufficient to indicate an
active UTI infection. 2751a_7/15
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www.ahrq.gov/nhguide/toolkits/determine-whether-to-treat/toolkit1-suspected-uti-sbar.html
November 01, 2024 - What is the Suspected UTI SBAR Toolkit? … The primary tool in this toolkit is the Suspected UTI SBAR form. … Introduce the Suspected UTI SBAR form to prescribing clinicians. … clinicians when a suspected UTI case arises. … Urinary tract infection (UTI) events for long-term care facilities (PDF).
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psnet.ahrq.gov/web-mm/cardiac-arrest-woman-uti-case-qt-prolongation
March 27, 2024 - Cardiac Arrest in a Woman with UTI: A Case of QT Prolongation
Citation Text:
Kulig CE, Ebong … Cardiac Arrest in a Woman with UTI: A Case of QT Prolongation. PSNet [internet]. … Cardiac Arrest in a Woman with UTI: A Case of QT Prolongation. PSNet [internet]. … Cardiac Arrest in a Woman with UTI: A Case of QT Prolongation. PSNet [internet].
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www.ahrq.gov/nursing-home/resources/nhsn-uti-module-2.html
April 01, 2022 - Healthcare Safety Network (NHSN) Long-Term Care Facility (LTCF) Training—Long-Term Care Facility (LTCF) UTI … Healthcare Safety Network (NHSN) Long-Term Care Facility (LTCF) Training—Long-Term Care Facility (LTCF) UTI
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-members-UTI.pdf
June 01, 2021 - • Dark, foul-smelling, and cloudy urine are not enough to decide if someone
has a UTI. … without vital sign changes suggesting
infection or urinary symptoms are rarely, if ever, symptoms of a UTI … • Many older people get an antibiotic for UTI treatment even though they
do not have symptoms of … a UTI … • Antibiotics do not help when there are no UTI symptoms, and we have
newer data indicating that
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/poster-4x6-UTI.pdf
June 01, 2021 - Suspected Urinary Tract Infection (UTI) in Long-Term Care Residents
0%0% … Suspected Urinary Tract Infection (UTI) in
Long-Term Care Residents
Signs & … Symptoms of a UTI
For Residents Without
a Urinary Catheter
� Dysuria
OR
� Fever (>100°F … and UCx results, if resident appears ill
� If UA & UCx are positive and the resident has ongoing UTI … No. 17(21)-0029
June 2021
Signs & Symptoms of a UTI
References