TY - JOUR
T1 - Diagnosis, Treatment, and Prevention of Urinary Tract Infections in Post-Acute and Long-Term Care Settings: A Consensus Statement From AMDA's Infection Advisory Subcommittee
AU - Ashraf, MS
AU - Gaur, S
AU - Bushen, OY
AU - Chopra, T
AU - Chung, P
AU - Clifford, K
AU - Hames, E
AU - Hertogh, CMPM
AU - Krishna, A
AU - Mahajan, D
AU - Mehr, DR
AU - Nalls, V
AU - Rowe, TA
AU - Schweon, SJ
AU - Sloane, PD
AU - Trivedi, KK
AU - van Buul, LW
AU - Jump, RLP
PY - 2020/1
Y1 - 2020/1
N2 - The diagnosis and management of urinary tract infections (UTIs) among residents of post-acute and long-term care (PALTC) settings remains challenging. Nonspecific symptoms, complex medical conditions, insufficient awareness of diagnostic criteria, and unnecessary urine studies all contribute to the inappropriate diagnosis and treatment of UTIs in PALTC residents. In 2017, the Infection Advisory Subcommittee at AMDA—The Society for Post-Acute and Long-Term Care Medicine convened a workgroup comprised of experts in geriatrics and infectious diseases to review recent literature regarding UTIs in the PALTC population. The workgroup used evidence as well as their collective clinical expertise to develop this consensus statement with the goal of providing comprehensive guidance on the diagnosis, treatment, and prevention of UTIs in PALTC residents. The recommendations acknowledge limitations inherent to providing medical care for frail older adults, practicing within a resource limited setting, and prevention strategies tailored to PALTC populations. In addition, the consensus statement encourages integrating antibiotic stewardship principles into the policies and procedures used by PALTC nursing staff and by prescribing clinicians as they care for residents with a suspected UTI.
AB - The diagnosis and management of urinary tract infections (UTIs) among residents of post-acute and long-term care (PALTC) settings remains challenging. Nonspecific symptoms, complex medical conditions, insufficient awareness of diagnostic criteria, and unnecessary urine studies all contribute to the inappropriate diagnosis and treatment of UTIs in PALTC residents. In 2017, the Infection Advisory Subcommittee at AMDA—The Society for Post-Acute and Long-Term Care Medicine convened a workgroup comprised of experts in geriatrics and infectious diseases to review recent literature regarding UTIs in the PALTC population. The workgroup used evidence as well as their collective clinical expertise to develop this consensus statement with the goal of providing comprehensive guidance on the diagnosis, treatment, and prevention of UTIs in PALTC residents. The recommendations acknowledge limitations inherent to providing medical care for frail older adults, practicing within a resource limited setting, and prevention strategies tailored to PALTC populations. In addition, the consensus statement encourages integrating antibiotic stewardship principles into the policies and procedures used by PALTC nursing staff and by prescribing clinicians as they care for residents with a suspected UTI.
KW - Urinary tract infection
KW - antimicrobial stewardship
KW - infection prevention and control
KW - nursing homes
UR - http://www.scopus.com/inward/record.url?scp=85076893877&partnerID=8YFLogxK
U2 - https://doi.org/10.1016/j.jamda.2019.11.004
DO - https://doi.org/10.1016/j.jamda.2019.11.004
M3 - Article
C2 - 31888862
SN - 1525-8610
VL - 21
SP - 12-24.e2
JO - Journal of the American Medical Directors Association
JF - Journal of the American Medical Directors Association
IS - 1
ER -