AMDA Pocket Guidelines

UTIs in the Post-Acute and Long-Term Care Setting

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23 Costovertebral angle pain/tenderness and/or suprapubic pain PRESCRIBE ANTIBIOTICS in case of no other infectious focus (UNLESS urinalysis shows negative nitrite AND negative leukocyte esterase). Consider obtaining urine culture to evaluate empiric antibiotic choice. PRESCRIBE ANTIBIOTICS (UNLESS urinalysis shows negative nitrite AND negative leukocyte esterase). Consider obtaining urine culture to evaluate empiric antibiotic choice. NO ANTIBIOTICS Evaluate for other cause and actively monitor c and reconsider if new symptoms arise or existing symptoms do not resolve. YES NO

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