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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/poster-8x11-UTI.pdf
June 01, 2021 - Suspected Urinary Tract Infection (UTI) in Long-Term Care Residents … and UCx results, if resident appears ill
� If UA & UCx are positive and the resident has ongoing UTI … modify antibiotics or start antibiotics (if not receiving active antibiotics)
Signs & Symptoms of a UTI … Suspected Urinary Tract Infection (UTI) in
Long-Term Care Residents
Ashraf … The Improving Outcomes of UTI
Management in Long-Term Care Project (IOU) consensus guidelines for the
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P4T2-Quality_Improvement_Review_Tool_for_Antibiotic_Use_in_UTI_Phase_4.doc
January 01, 2011 - Comprehensive Antibiogram Toolkit: Phase 4
Quality-Improvement Review Tool for Antibiotic Use
in Urinary Tract Infections
The goal of this tool is to allow nursing home staff to review empiric antibiotic choices recorded in the Antibiotic-Use Tracking Sheet to see if prescribing is consistent with national guidelines …
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P4T2-Quality_Improvement_Review_Tool_for_Antibiotic_Use_in_UTI_Phase_4.pdf
May 01, 2014 - Sample Vignettes
Advancing Excellence in Health Care www.ahrq.gov
Agency for Healthcare Research and Quality HAIs
Healthcare-
Associated
Infections
PREVENT
Comprehensive Antibiogram Toolkit: Phase 4
Quality-Improvement Review Tool for Antibiotic Use
in Urinary Tract Infections
The goal of this tool is to a…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/antibiotic-stewardship/case-study-key.docx
March 01, 2017 - Valerie has a history of frequent urinary tract infections (UTI). … Over the last year she has been admitted to the hospital twice for UTI and has had multiple courses of … Johnny thinks his mother might have another UTI and wants her started on antibiotics right away.
1. … [endnoteRef:1] Cloudy, smelly urine does not meet the UTI criteria. … /LTC/LTCF-UTI-protocol_FINAL_8-24-2012.pdf.]
2.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK2_T3-Sample_Monthly_Summary_Reports_Final.xlsx
October 01, 2016 - Summary UTI
Nursing Home Antimicrobial Stewardship Guide
Implement, Monitor, and Sustain a Program … Number of Antibiotic Rx divided by Number of Resident Days Number of Residents Receiving Antibiotics for UTI … Repeats) Number of UTI SBAR Forms Used Number of UTIs That Met Diagnostic Criteria Number of Negative … Sept
Oct
Nov
Dec
TOTAL
Rx = prescription; SBAR = situation, background, assessment, request; UTI
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/TK3_T5_Minimum_Criteria_Nursing_Staff_Training.docx
October 01, 2016 - This includes information only for the UTI SBAR. … First, think about a resident who had a UTI recently. … UTI? … considered an indicator of a UTI. … Therefore, they should not be used to identify a UTI.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T5-Suspect_a_Urinary_Tract_Infection_brochure_MA_Coalition_final.pdf
June 18, 2015 - »Confusion or sudden behavior changes don’t
necessarily indicate a urinary tract infection (UTI)? … long-term care
settings will test positive for bacteria in their urine,
without actually having a UTI … So if a test shows bacteria, does this mean I have a UTI?
Not necessarily. … What are the specific symptoms of a UTI? … UTI is less likely without the specific symptoms listed above.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK3_T5-Minimum_Criteria_for_3_Infections_Training_Slides-final.pptx
October 01, 2016 - This includes information only for the UTI SBAR. … First, think about a resident who had a UTI recently. … a UTI? … considered an indicator of a UTI. … Therefore, they should not be used to identify a UTI.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T2-Clinician_letter_Final_0.pdf
October 01, 2016 - Suspected UTI SBAR Toolkit
Tool 2. … We will use a research-based and effective
Toolkit, the Suspected Urinary Tract Infection (UTI) Situation … The Suspected UTI SBAR form is intended to enhance communication
and provide guidance regarding managing … Although residents
with specific UTI symptoms like dysuria usually need treatment, urinalyses and cultures … infection within the 3 months following their course
of antibiotics.8
Embedded in the Suspected UTI
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK2_T3-Sample_Monthly_Summary_Reports_Final.docx
October 01, 2016 - of Antibiotic Rx Divided by Number of Resident Days
Number of Residents Receiving Antibiotics for UTI … Repeats)
Number of UTI SBAR Forms Used
Number of UTIs That Met Diagnostic Criteria
Number of Negative
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK2_T3-Sample_Monthly_Summary_Reports_Final.pdf
October 01, 2016 - Antibiotic
Rx Divided
by Number
of Resident
Days
Number of
Residents
Receiving
Antibiotics
for UTI … Repeats)
Number
of UTI
SBAR
Forms
Used
Number of
UTIs That
Met
Diagnostic
Criteria
Number
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/uti-one-pager.pdf
September 01, 2022 - o Treating asymptomatic bacteriuria can increase the risk for a UTI in the future3-4
• Review prior … sulfamethoxazole
Duration
• Cystitis: 3–5 days is typically sufficient2
• Pyelonephritis or complicated UTI … time
AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care ASB and UTI
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T2-Clinician_letter_Final_0.docx
October 01, 2016 - We will use a research-based and effective Toolkit, the Suspected Urinary Tract Infection (UTI) Situation … The Suspected UTI SBAR form is intended to enhance communication and provide guidance regarding managing … Although residents with specific UTI symptoms like dysuria usually need treatment, urinalyses and cultures … Suspected UTI SBAR Toolkit
However, research provides no evidence that treating asymptomatic bacteriuria … Embedded in the Suspected UTI SBAR form is our new protocol for initiating antibiotics for UTIs.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T6-Managing_Resident_and_Family_Expectations_Final.docx
October 01, 2016 - the residents or family members keep requesting antibiotics for UTIs when a resident does not have a UTI … Have you ever had an experience where someone requested an antibiotic for what they thought was a UTI … In both of these talking points, it discusses what the true indicators of a UTI are, how we treat UTIs … Looking over the UTI points, would these have been helpful for any discussions you have had with residents
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T6-Managing_Resident_and_Family_Expectations_Final.pdf
October 01, 2016 - the residents or family members keep requesting antibiotics for
UTIs when a resident does not have a UTI … Have you ever had an experience where someone requested an
antibiotic for what they thought was a UTI … • In both of these talking points, it discusses what the true indicators of a UTI are,
how we treat UTIs … • Looking over the UTI points, would these have been helpful for any discussions you
have had with
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/reduce/4-things.pdf
March 01, 2017 - Urinary Tract Infection (UTI) Event for Long-term Care Facilities. … Centers for Disease Control and Preven-
tion; January 2016. http://www.cdc.gov/nhsn/pdfs/ltc/ltcf-uti-protocol-current.pdf … epididymis, or prostate
■ Pus around the catheter
* See CDC's January 2016 "Urinary Tract Infection (UTI … www.cdc.gov/nhsn/PDFs/pscManual/2PSC_IdentifyingHAIs_NHSNcurrent.pdf
http://www.cdc.gov/nhsn/pdfs/ltc/ltcf-uti-protocol-current.pdf … http://www.cdc.gov/nhsn/pdfs/ltc/ltcf-uti-protocol-current.pdf
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ce.effectivehealthcare.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/antibiotic-stewardship/case-study-key.html
March 01, 2017 - Valerie has a history of frequent urinary tract infections (UTI). … Johnny thinks his mother might have another UTI and wants her started on antibiotics right away.
1. … ). i Cloudy, smelly urine does not meet the UTI criteria. … Remember, new-onset confusion and functional decline are only qualified symptoms of CAUTI, not UTI. … Urinary Tract Infection (UTI) Event for Long-term Care Facilities . 2012.
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ce.effectivehealthcare.ahrq.gov/antibiotic-use/acute-care/diagnosis/uti.html
November 01, 2019 - able to—
Explain how to distinguish asymptomatic bacteriuria (ASB) from a urinary tract infection (UTI … for UTIs
Slides (PPTX)
Facilitator Guide (PDF)
One-Page Document — Urinary Tract Infection (UTI
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/assessment.docx
March 01, 2017 - be in place for a minimum of 2 calendar days (Day 1=day of insertion) in order for the symptomatic UTI … References:
Adapted from Centers for Disease Control and Prevention (CDC), Urinary Tract Infection (UTI … Detailed CAUTI protocol is available on the CDC/NHSN Web site: http://www.cdc.gov/nhsn/ltc/uti/index.html … of ≥105 CFU/ml [1: Yeast and other microorganisms, which are not bacteria, are not NHSN acceptable UTI … 14 days should be changed prior to specimen collection, but failure to change it does not exclude a UTI
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ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-proc-related-catheter-use-slides.html
December 01, 2017 - Images: Screen shots of 2 graphs titled "Correlation Between UTI rates and SCIP Inf-9 Compliance" and … "Relationship Between UTI Cases and Exemption Status". … RCT comparing risk of UTI among patients at low risk of POUR undergoing thoracic epidural analgesia … SC
Risk Ratio (95% CI)
UTI rate
1.9% vs. 13.6%
0.14 (0.03-0.59)
In/out catheter
7.6% vs. … 11.1%
7.2%
068
Catheter replacement
40.7%
2.9%
<0.001
Reinsertion and UTI
18.8%