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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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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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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.
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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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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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ce.effectivehealthcare.ahrq.gov/nhguide/toolkits/determine-whether-to-treat/toolkit1-suspected-uti-sbar.html
October 01, 2016 - 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. … Suspected UTI SBAR Toolkit. Content last reviewed October 2016.
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ce.effectivehealthcare.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 … 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 … https://www.ahrq.gov/nursing-home/resources/nhsn-uti-module-2.html
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T4-Urinalysis_and_UTIs_Improving_Care_Final.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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ce.effectivehealthcare.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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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-UTI-slides.pptx
June 01, 2021 - Use – Long-Term Care
Assessment UTI
2
Case 1: Mary Ann
Test Name Results Units Ref. … 3
Case 1: Question 1
Your colleague thinks the resident has a UTI. … Do you think she has a UTI? … This is
NOT
a UTI! … Options:
“He probably has a UTI because his urine is cloudy.”
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T4-Urinalysis_and_UTIs_Improving_Care_Final_0.docx
October 01, 2016 - We will discuss:
Signs and symptoms of UTIs
Three common myths about UTIs
What Is a UTI? … 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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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T1-SBAR_UTI_Word_simplified_one_page.doc
August 26, 2016 - Suspected UTI SBAR
Complete this form before contacting the resident’s physician. … ______________________
Phone______________________
SITUATION
I am contacting you about a suspected UTI
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/uti-slides.pptx
September 01, 2022 - No. 17(22)-0030
September 2022
ASB and UTI
AHRQ Safety Program for Improving Antibiotic Use – Ambulatory … Care
1
Objectives
Distinguish asymptomatic bacteriuria (ASB) from urinary tract infection (UTI) … ASB and UTI
AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care
3
The Four Moments of … a UTI. … Recent antibiotic use
Complicated UTI suspected
Symptoms of pyelonephritis
ASB and UTI
AHRQ Safety
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/ASB-UTI-slides.pptx
November 01, 2019 - Common symptoms of catheter-associated UTI are fever and suprapubic tenderness. … Foul-smelling or cloudy urine does not indicate a UTI. … Mental status changes alone do not indicate a UTI. … Pyuria can be seen in patients with a UTI but is not
diagnostic of a UTI in the absence of urinary symptoms … , falls, or confusion are symptoms of a UTI in the absence of urinary symptoms.
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ce.effectivehealthcare.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
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-UTI-slides.PPT
June 01, 2021 - No. 17(21)-0029
June 2021
UTI Management
1
Objectives
Describe empiric treatment options for urinary … for de-escalation of antibiotic therapy for UTIs after additional clinical data are available.
2
UTI … NOT
a UTI! … Management
Diagnosing a UTI
5
OR
Dysuria
(pain with urination)
Systemic Signs
(fever or chills … Based on Melba’s symptoms, a urinalysis and culture should be obtained
UTI Management
6
Case
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T3-Not_all_Infections_need_antibiotics-_final.pdf
May 01, 2014 - What is the UTI SBAR form? What does it include? … • The Suspected Urinary Tract Infection
(UTI) Situation, Background,
Assessment, and Recommendation … • The UTI SBAR form is based on the
Situation, Background, Assessment,
and Recommendation form … • The UTI SBAR form can be faxed to or used when speaking with a prescribing clinician. … Why use the UTI SBAR form?
• The UTI SBAR form helps to reduce the unnecessary use of antibiotics.
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ce.effectivehealthcare.ahrq.gov/antibiotic-use/long-term-care/best-practices/uti-assess.html
June 01, 2021 - presenting this presentation, viewers will be able to—
Explain the terms urinary tract infection (UTI … Recognize the signs and symptoms of a suspected UTI that should be reported to and discussed by the health … https://www.ahrq.gov/antibiotic-use/long-term-care/best-practices/uti-assess.html
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/ASB-UTI-facilitator-guide.pdf
November 01, 2019 - able to—
• Explain how to distinguish asymptomatic
bacteriuria from a urinary tract infection or UTI … Foul-smelling or cloudy urine does not indicate a UTI. … Further, mental status changes alone in the absence of
other evidence of UTI do not indicate a UTI. … Pyuria can
be seen in patients with a UTI but is not diagnostic of a
UTI in the absence of relevant … Remember, urine cultures should be sent when a
patient has signs and symptoms of UTI.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/uti-guide.docx
September 01, 2022 - of symptoms of a UTI. … Foul-smelling or cloudy urine by itself does not indicate a UTI. … able to verbalize the presence of UTI symptoms, making the criteria for diagnosing a UTI in children … A complicated UTI is any UTI in an adolescent or adult male or a UTI occurring in the presence of obstruction … pyuria is helpful to exclude the diagnosis of a UTI.