DS 1
True or false: When a UA report shows yeast are present there is a higher probability of UTI and treatment should be initiated.
What is false?
True or false: A UA positive for nitrites, leukocyte esterase or pyuria confirms a UTI in a patient with new onset delirium even when there are no UTI symptoms.
What is false.
True or false: Starting antibiotics before obtaining a urine culture is a best practice in SNF residents who have sepsis to ensure timely antibiotic administration.
What is false?
These non-specific symptoms (not findings) are NOT reliable for diagnosing a UTI (name two).
What are (2 or more) delirium, confusion, agitation, falls or fever?
This "test performance" term describes the likelihood that a SNF resident or patient has a UTI before tests are ordered.
What is pretest probability?
This practice is about improving clinician test choices and the interpretation of test results with the goal of improving test accuracy and reducing unnecessary testing and treatment.
What is diagnostic stewardship?
The assessment section of the UTI SBAR should use or apply this set of criteria.
What is Loeb criteria?
According to Loeb criteria, at least one localized urinary symptom is needed before ordering this.
What is a urine culture and antibiotics?
This structured communication format helps ensure all relevant information is shared clearly when discussing a patient who may have a new UTI with a provider.
What is the SBAR format (Situation, Background, Assessment, Request or Recommendation)?
This diagnostic test measure of a urine culture can be reduced (give a high percentage of false negatives) through 1) improper collection technique, 2) a long delay in transport, and 3) sample taken after antibiotics were administered.
What is UC test sensitivity?
The specificity of a urine culture is reduced in SNF residents and elderly patients because of this common condition.
What is asymptomatic bacteriuria?
Treating this can lead to unwanted outcomes related to antibiotic use: antibiotic resistance and antibiotic related adverse events.
What is asymptomatic bacteriuria?