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1. One-Pager-Uti (doc file)
   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

2. Assess-Resident-Uti-Facilitator-Guide (doc file)
   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.

3. Manage-Resident-Uti-Facilitator-Guide (doc file)
   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.

4. Toolkit 1. Suspected UTI SBAR Toolkit | Agency for Healthcare Research and Quality
   www.qualitymeasures.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.

5. Suspected Urinary Tract Infection (UTI) in Long-Term Care Residents (pdf file)
   www.qualitymeasures.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

6. Talking With Residents and Family Members About Urinary Tract Infections (UTIs) (pdf file)
   www.qualitymeasures.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

7. PowerPoint Presentation
   www.qualitymeasures.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.”

8. 4 Tk1 T4-Urinalysis And Utis Improving Care Final 0 (doc file)
   www.qualitymeasures.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?

9. 4 Tk1 T1-Sbar Uti Word Simplified One Page (doc file)
   www.qualitymeasures.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

10. Suspected Urinary Tract Infection (UTI) in Long-Term Care Residents (pdf file)
    www.qualitymeasures.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

11. Best Practices in the Diagnosis and Treatment of Asymptomatic Bacteriuria and Urinary Tract Infections – Slides
    www.qualitymeasures.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

12. PowerPoint Presentation (ppt file)
    www.qualitymeasures.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

13. Assessment and Management of the Resident With a Suspected Urinary Tract Infection | Agency for Healthcare Research and Quality
    www.qualitymeasures.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  

14. Best Practices in the Diagnosis and Treatment of Asymptomatic Bacteriuria and Urinary Tract Infections – Facilitator Guide (doc file)
    www.qualitymeasures.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.

15. BLADDER SCAN – POLICY #2202 12/11/06 (doc file)
    www.qualitymeasures.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.

16. 6 Tk1 T5-Suspect A Urinary Tract Infection Brochure Ma Coalition Final (pdf file)
    www.qualitymeasures.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.

17. Urinary Tract Infections (pdf file)
    www.qualitymeasures.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

18. 4 Tk1 T2-Clinician Letter Final 0 (doc file)
    www.qualitymeasures.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.

19. 6 Tk1 T6-Managing Resident And Family Expectations Final (pdf file)
    www.qualitymeasures.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

20. 4 Things You Should Know about Urine Cultures (pdf file)
    www.qualitymeasures.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