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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/antibiotic-prescribing-guide.docx
September 01, 2022 - a urinalysis and a urine culture in case her symptoms are related to a urinary tract infection (or UTI … Another clinician in the practice sees these results and prescribes a 7-day course of ciprofloxacin for a UTI … primary care doctor (or PMD in the figure), she did not have any signs or symptoms consistent with a UTI … for postmenopausal women to have pyuria and bacteriuria without any clinical signs or symptoms of a UTI
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T2-Talking_with_Residents_Family_Members_checklist_version_Final.pdf
October 01, 2016 - • A urinary tract infection (UTI) is an infection involving any party of the urinary system,
including … • Antibiotics do not help when there are no UTI symptoms.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-j.pdf
September 01, 2015 - ■600,000 patients develop hospital-
acquired urinary tract infections
(UTI) every year. … ■Each day the urinary catheter
remains in place the risk of a UTI
increases 5 percent.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/DESC-technique.pdf
June 01, 2021 - Here’s an example of a family member who worries that her aunt has a urinary tract infection, or UTI. … She is not acting like herself
today, and the last time this happened, someone told you she had a UTI
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/informacion-en-espanol/uti-handout-spanish-no-logo-instructions.pdf
September 01, 2022 - Infección de las vías urinarias
Infección de las vías urinarias
Infección de las vías urinarias
Folleto para pacientes
Programa de seguridad de AHRQ para mejorar el uso de antibióticos – Atención ambulatoria
AHRQ Pub. No. 17(22)-0030 | September 2022
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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/antibiotic-faqs.docx
March 01, 2017 - Therefore, the diagnosis of UTI should always be a diagnosis of exclusion if the resident has a positive … urine culture diagnosis but does not have any UTI symptoms. … pointing out that you will help assess for any deterioration, and treating the urine in a resident without UTI
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ce.effectivehealthcare.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/prevent/clinical-faqs.html
March 01, 2017 - Evidence does not support use of methenamine hippurate (also called methenamine mandelate) to prevent UTI … urine specimen for culture should be obtained prior to initiating antimicrobial therapy for presumed CA-UTI … If an indwelling catheter has been in place for 2 weeks at the onset of CA-UTI and is still indicated … replaced to hasten resolution of symptoms and to reduce the risk of subsequent CA-bacteriuria and CA-UTI … Training also includes education about medications and their side effects, recognizing symptoms of a UTI
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/other-resources.pdf
June 01, 2021 - Other Resources 3
Toolkit from the AHRQ Nursing Home Antimicrobial Stewardship Guide: Suspected UTI … SBAR Toolkit
https://www.ahrq.gov/nhguide/toolkits/determine-whether-to-treat/toolkit1-suspected-uti-sbar.html … Tool from the AHRQ Nursing Home Antimicrobial Stewardship Guide Suspected UTI SBAR Toolkit:
Determine … T4-
Urinalysis_and_UTIs_Improving_Care_Final.pdf
Print and complete this AHRQ PDF form: Suspected UTI … management-of-patients-with-prosthetic-joints
https://www.ahrq.gov/nhguide/toolkits/determine-whether-to-treat/toolkit1-suspected-uti-sbar.html
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/communication-facilitator-guide.docx
June 01, 2021 - In this scenario, a family member worries that her aunt has a urinary tract infection, or UTI. … We performed a history and a full physical exam and she is not having symptoms of a UTI, nor does she … W has a UTI. He didn’t eat breakfast, and he is not acting like himself. … has a UTI. … Third, the Assessment: I am concerned that he may have a UTI. He seems very sick.
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ce.effectivehealthcare.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/antibiotic-stewardship/case-study.html
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.
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ce.effectivehealthcare.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/assessment.html
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 … Signifies CAUTI
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/sites/default/files/wysiwyg/nhguide/5_TK2_P4T1-Monitoring_Sample_Antibiotic_Use_Tracking_Sheet_Phase_4.doc
May 01, 2014 - infection
Culture site
Infection type
Treatment start date
Antibiotic name
Broad or narrow spectrum
UTI
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/antibiotic-time-out-tool.docx
November 01, 2019 - infection
☐ Biliary tract infection
☐ Diverticulitis
☐ Intra-abdominal infection
☐ Urinary tract infection (UTI … ☐ Positive urine culture without symptoms of a UTI (Exceptions: pregnancy or impending urologic surgery … cephalosporin
10-14 days6,11 (shorter course if early response)
Complicated urinary tract infection (UTI … ), including catheter-associated UTI (CAUTI)
Lower tract CAUTI in women ≤ 65 years if catheter is removed
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/program-dev-slides.pptx
June 01, 2021 - Her son states the last time she had a dark urine she had a UTI. He wants her to be tested. … Her son states the last time she had a dark urine she had a UTI. He wants her to be tested. … Her son states the last time she had a dark urine she had a UTI. He wants her to be tested. … Her son states the last time she had a dark urine she had a UTI. He wants her to be tested. … Her son states the last time she had a dark urine she had a UTI. He wants her to be tested.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/stewardship-slides.pptx
June 01, 2021 - the Intervention
Sustaining Stewardship
7
Example of Individualized Feedback
Prescriptions for UTI … indication documented
27 of 42 (64%) 8 of 8 (100%)
Urine culture ordered for residents’ indication of UTI … in concordance with local policies
Consider asking for provider feedback
Focus on common infections (UTI
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ce.effectivehealthcare.ahrq.gov/antibiotic-use/long-term-care/best-practices/posters.html
June 01, 2021 - Minimum Criteria for Initiation of Antibiotics for Suspected UTI, and When To Send a Urinalysis and Urine … (8 x 11, one-sided) (PDF, 202.3 KB)
Minimum Criteria for Initiation of Antibiotics for Suspected UTI
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ce.effectivehealthcare.ahrq.gov/nhguide/toolkits/determine-whether-to-treat/toolkit3-minimum-criteria.html
September 01, 2017 - The Suspected UTI SBAR Form and the letter were tested in Texas and resulted in a 30% reduction of use … Suspected UTI SBAR ( PDF )
Suspected Lower Respiratory Tract Infection SBAR ( PDF )
Suspected Skin
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK3_T1-Sample_Policy_final.docx
October 01, 2016 - Smelly or cloudy urine is not a symptom of a UTI.
1.
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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/whento-order/urine-cultures.pptx
March 01, 2017 - reason to send a urine culture, particularly if the resident doesn’t have any specific symptoms of a UTI … or asymptomatic
Asymptomatic bacteriuria (ASB)
CAUTI requires presence of symptoms consistent with UTI … But smell, or cloudiness, etc., are not symptoms of UTI or CAUTI. … However, she doesn’t need a workup for UTI, at this point. … While her urine is cloudy, she is still doing well without any symptoms of UTI.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/communication-slides.pptx
June 01, 2021 - W has a UTI. He didn’t eat dinner and he is not acting like himself. … W has a UTI. He didn’t eat dinner and he doesn’t seem like himself. … He should not be on this antibiotic—it was started in the hospital for a UTI, but he has been on it for