-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/RoC9VuSorM_LR7sTvLeFF2
July 01, 2008 - inclusion criteria
Not condition of interest (n = 33): Not asymptomatic bacteriuria
(e.g., symptomatic UTI … Study exclusively involving persons younger
than age 18 years
RCT � randomized, controlled trial; UTI … between intervention
and placebo groups
in symptomatic UTIs,
pyelonephritis, or
hospitalization for a
UTI … decline or the
development of
hypertension in
nonpregnant
women with
diabetes
RR � relative risk; UTI
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P2T8-Sample_Antibiogram_Phase_2.pdf
May 01, 2014 - Phase 3 Implementation
w
Advancing Excellence in Health Care www.ahrq.gov
Agency for Healthcare Research and Quality HAIs
Healthcare-
Associated
Infections
PREVENT
Comprehensive Antibiogram Toolkit: Phase 2
Sample Antibiogram
Nursing Home Name/Clinical Laboratory Name
Antibiogram for dd/mm/yyyy to dd/mm/yy…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-nephro.pdf
June 02, 2025 - ■ UTI and urolithiasis do not occur any more frequently than in general population.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urine-culturing.pptx
April 01, 2022 - 4
CAUTI Signs and Symptoms6,11-12
Presence of symptoms suggestive of a urinary tract infection (UTI … an ICU Patient1
Questions to ask before culturing urine Yes No
Are there clear signs/symptoms of a UTI … Abbreviations: GU = genitourinary; UTI = urinary tract infection. … be considered only if used in conjunction with careful clinical evaluation for signs and symptoms of UTI … diagnosis missed
Implementing Culturing Stewardship28
Beliefs and Habits
Pyuria or bacteriuria = UTI
-
www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/wm-ptsafety.html
September 01, 2015 - use and specific comorbid conditions can increase the risk of developing a urinary tract infection (UTI … Approximately 40% of all HAIs are attributed to catheter-associated UTI (CAUTI) ( Lo, et al., 2008 ).
-
www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/antibiotic-stewardship/part-1-slides.html
February 01, 2019 - Example Family Dialogue
Family says: "My Bobby always looks like this when he has a UTI." … Antibiotics won't help if he doesn't have a UTI.
Antibiotics could hurt him (e.g., diarrhea).
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/antibiotic-stewardship/abx-stewardship-part2.pptx
March 01, 2017 - antibiotic stewardship is linked to infection prevention;
Explain how overtreating urinary tract infections (UTI … stewardship is linked to infection prevention;
Explain how over-treating urinary tract infections (UTI … about not ordering and collecting a urine culture unless a resident has signs or symptoms of a CAUTI or UTI
-
www.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
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/impmaterials.html
June 01, 2017 - _|
Active high-risk diagnoses (e.g., CHF, MI/angina, pneumonia/bronchitis, COPD, dehydration, UTI … Recurrent UTI
Yes |___|
No |___|
M. Anemia
Yes |___|
No |___|
N. … particular action should have been taken to address a condition change (e.g., increased fluids for suspected UTI
-
www.ahrq.gov/sites/default/files/2025-03/smith-werner-carayon-report.pdf
January 01, 2025 - Our project focuses on vulnerable older patients over
65 who are diagnosed with fall or suspected UTI … functional decline, and hospital readmissions.3,11,16
ED patients diagnosed with fall or suspected UTI … .20,21 In a
study of women who were diagnosed with UTI in the ED, only 43% received a urine culture, … We focused on older adults diagnosed with fall or suspected urinary tract infection (UTI) in the ED, … Domains of Patient
Safety
Population
(Fall, UTI)
Process or
Outcome
Measures
Fall Fall Process
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/sustaining-change-slides.html
December 01, 2017 - urine culture
Exclusion of non-bacteria as sole pathogens
Use of same pathogen list for symptomatic UTI … (SUTI) and asymptomatic bacteremic UTI (ABUTI)
All of the above
Slide 32
Sustaining Change
-
www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-review11/asymptomatic-bacteriuria-in-adults-screening-2008
July 15, 2008 - criteria
Not condition of interest (n = 33): Not asymptomatic bacteriuria (e.g., symptomatic UTI … The legend at the bottom of the flow chart reads:
RCT = randomized, controlled trial; UTI = … RCT = randomized, controlled trial; UTI = urinary tract infection. … between intervention and placebo groups in symptomatic UTIs, pyelonephritis, or hospitalization for a UTI
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/TK2_T4_Common_Suspected_Infections_Tools_To_Improve_Communication_and_Decisionmaking.docx
October 01, 2016 - SAY:
One-third of residents receiving antibiotics for a “UTI” are asymptomatic. … Infections and Symptom Management
SAY:
Slide 29
Fever and Older Adults
SAY:
Slide 30
Suspected UTI
-
www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-19.html
November 01, 2014 - the medical evidence base may lead to a focus on improving processes that are unrelated to reducing UTI
-
www.ahrq.gov/research/findings/final-reports/ssi/ssiapp.html
April 01, 2018 - Bilirubin > 1.0 mg/dL
WBC
Coma
UTI
Dyspnea
-
hcup-us.ahrq.gov/reports/statbriefs/sb96.pdf
September 01, 2010 - percent),
and diabetes (32 percent); and
roughly one-quarter of stays for
urinary tract infection (UTI … and over
accounted for one-third of stays for
injurious falls and about one-quarter of
stays for UTI … percent), and diabetes (32 percent), and
roughly one-quarter of stays for urinary tract infection (UTI … and
over accounted for one-third of stays for injurious falls and more than one-quarter of stays for UTI … Medicare hospitalization rates for
Dehydration UTI COPD
35
4 53
6 88
6
48
5 78
8
14
83
25
41
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.116_slideshow.ppt
February 01, 2006 - interpretation of results for this patient
Post-turnover
Clinicians did not reconsider diagnosis of UTI … interpretations; use diagnoses only when clearly supported
Say: “This patient has recently been treated for UTI … and presents with mental status change, hematuria, and anemia…”
Instead of: “This patient has UTI
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T4-Common_Suspected_Infections_Tools_to_Improve_Communication_and_Decision_Making.ppt
May 01, 2014 - Example: One-third of residents receiving antibiotics for UTI are being treated for asymptomatic bacteriuria … One-third of residents receiving antibiotics for a “UTI” are asymptomatic. … chronic diseases, medications, and time of day can affect an older person’s temperature
*
Suspected UTI
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-slides.pptx
June 01, 2021 - Alvarez’s daughter
says that last time this
happened her mother was diagnosed with a UTI, and she requests … pretty uncomfortable, and I don’t think the pain she will feel is worth it when the suspicion for a UTI
-
www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/when-to-order/role-play.html
May 01, 2017 - I certainly don’t want her to get a UTI either. But what I was thinking was…
Dr. … While her urine is cloudy, she is still doing well without any symptoms of UTI. … While her urine is cloudy, she is still doing well without any symptoms of UTI.