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

MS Ashraf, S Gaur, OY Bushen, T Chopra, P Chung, K Clifford, E Hames, CMPM Hertogh, A Krishna, D Mahajan, DR Mehr, V Nalls, TA Rowe, SJ Schweon, PD Sloane, KK Trivedi, LW van Buul, RLP Jump

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)12-24.e2
JournalJournal of the American Medical Directors Association
Volume21
Issue number1
DOIs
Publication statusPublished - Jan 2020

Cite this

Ashraf, MS ; Gaur, S ; Bushen, OY ; Chopra, T ; Chung, P ; Clifford, K ; Hames, E ; Hertogh, CMPM ; Krishna, A ; Mahajan, D ; Mehr, DR ; Nalls, V ; Rowe, TA ; Schweon, SJ ; Sloane, PD ; Trivedi, KK ; van Buul, LW ; Jump, RLP. / 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. In: Journal of the American Medical Directors Association. 2020 ; Vol. 21, No. 1. pp. 12-24.e2.
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abstract = "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.",
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Ashraf, MS, Gaur, S, Bushen, OY, Chopra, T, Chung, P, Clifford, K, Hames, E, Hertogh, CMPM, Krishna, A, Mahajan, D, Mehr, DR, Nalls, V, Rowe, TA, Schweon, SJ, Sloane, PD, Trivedi, KK, van Buul, LW & Jump, RLP 2020, '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' Journal of the American Medical Directors Association, vol. 21, no. 1, pp. 12-24.e2. https://doi.org/10.1016/j.jamda.2019.11.004

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. / Ashraf, MS; Gaur, S; Bushen, OY; Chopra, T; Chung, P; Clifford, K; Hames, E; Hertogh, CMPM; Krishna, A; Mahajan, D; Mehr, DR; Nalls, V; Rowe, TA; Schweon, SJ; Sloane, PD; Trivedi, KK; van Buul, LW; Jump, RLP.

In: Journal of the American Medical Directors Association, Vol. 21, No. 1, 01.2020, p. 12-24.e2.

Research output: Contribution to journalArticleAcademicpeer-review

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AU - Clifford, K

AU - Hames, E

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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

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KW - antimicrobial stewardship

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DO - 10.1016/j.jamda.2019.11.004

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