Colonization vs Infection
Using clinical criteria to determine when to order a UA and urine culture is know as this type of stewardship
What is Diagnostic Stewardship
I knows it's a UTI when the patient says their urine is...
What is foul smell, and/or cloudy appearing
This tool is used to optimize communication with a provider about new symptoms of infection.
What is an SBAR
This is the preferred criteria for determining the need for treatment of a UTI in a SNF resident
What is Loeb criteria
A decision to start antibiotics should be based on this information and NOT a urine culture result.
What is presence of UTI symptoms
50%-100% of these individuals are colonized with bacteria in their urine
What are nursing home residents
I know it's a UTI when there are more than 20 of these in the UA result
What are WBCs
A UTI SBAR Background information should include presence of a catheter and this information you can get from the pharmacy.
What are medication allergies, and anticoagulation
According to Loeb criteria, residents without a catheter are consider to have a UTI if this symptom is present.
What is dysuria
Watchful waiting may include an order for this lab
What is urinalysis
About 28% of these patients are colonized with bacteria in urine
What are patients on hemodialysis
I know it's a UTI when the UA shows this positive test result
What is leukocyte esterase
The UTI SBAR Assessment should include the presence of these in a non-catheterized patient
What is fever, dysuria, urgency, frequency, flank pain, gross hematuria, incontinence change
Residents with a catheter or who are nonverbal should have one of these four symptoms to meet criteria for ordering labs and starting treatment for a UTI
What are fever, costovertebral angle tenderness, rigors or new onset delirium
Watchful waiting means these two measures are done for 24-48 hours.
What is monitoring and hydration.
This test has low specificity for diagnosing a urinary tract infection
What is a urine culture
I know it's a UTI when my patient experiences...
What is agitation, confusion, delirium or fall
The UTI SBAR Recommendations may include an order for a UA without antibiotics when this plan is implemented
What is watch and wait
This on-line tool uses Loeb criteria to help make a decision about treatment
What is the AHRQ "Minimum Criteria Tool for Antibiotics"
Patients who are unable to express UTI symptoms but have confusion or a fall should be treated in the presence of this
What is sepsis
Using this for more than 30 days is associated with the highest rates of bacterial colonization
What is an indwelling catheter
When my patient has a fever, and bacteriuria I know this must be....
What is a urinary tract infection
When a UTI SBAR Assessment does not show local UTI symptoms what watch and wait measures could be started
What is hydration and monitoring.
This criteria is not recommended for assessing the need for treatment of a UTI but instead can be used for surveillance
What is McGeer's crteria
This on-line decision support tool from AHRQ assists with determining need for treatment for these infections
What is UTI, SSTI and URI