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AMDAUTI01203a
Disclaimer
is pocket guide attempts to define principles of practice that should produce high-quality patient carein the
post-acute and long-term care setting. is pocket guide should not be considered exclusive of other methods
of care reasonably directed at obtaining the same results. e ultimate judgment concerning the propriety
of any course of conduct must be made by the clinician aer consideration of each individual patient
situation. Neither IGC, the medical associations, nor the authors endorse any product or service associated
with the distributor of this clinical reference tool. Not for further reproduction or distribution without
written permission.
References
Ashraf MS, Gaur S, Bushen O et al. 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. J Am Med Dir Assoc 2020 Jan;21(1):12-24.e2.
van Buul LW, Vreeken HL, Bradley SF, et al. e development of a decision tool for the empiric
treatment of suspected urinary tract infection in frail older adults: A delphi consensus procedure.
J Am Med Dir Assoc 2018;19:757e764.
Nace DA, Perera SK, Hanlon JT, et al. e Improving Outcomes of UTI Management in Long-
Term Care Project (IOU) consensus guidelines for the diagnosis of uncomplicated cystitis in
nursing home residents. J Am Med Dir Assoc 2018;19:765e769.e3.
Hanlon JT, Perera S, Drinka PJ, et al. e IOU Consensus Recommendations for Empirical
erapy of cystitis in nursing home residents. J Am Geriatr Soc 2019;67:539e545.
Nace DA, Drinka PJ, Crnich CJ. Clinical uncertainties in the approach to longterm care
residents with possible urinary tract infection. J Am Med Dir Assoc 2014;15:133e139.
Loeb M, Bentley DW, Bradley S, et al. Development of minimum criteria for the initiation of
antibiotics in residents of long-term-care facilities: Results of a consensus conference. Infect
Control Hosp Epidemiol 2001;22:120e124.
Toolkit 1. Suspected UTI SBAR Toolkit. 2016. Available at: https://www.ahrq.gov/nhguide/
toolkits/determine-whether-to-treat/toolkit1-suspected-uti-sbar.html. Accessed November 10,
2018.
Suggested Citation
Ashraf MS, Gaur S, Clifford K, Dumyati G, Healy E, Bergman, C. "Urinary Tract Infections in the
Post-Acute and Long-Term Care Setting." AMDA–e Society for Post-Acute and Long-Term
Care Medicine. Clinical Practice Pocket Guide Series. February 2020.
Acknowledgements
AMDA – e Society for Post-Acute and Long-Term Care Medicine developed this educational
tool with the support and cooperation of the Clinical Practice Steering Committee and Clinical
Practice Guidelines and Tools Subcommittee.
A special thank you to the following members for their contributions:
Muhammad Salman Ashraf, MBBS, FIDSA
Swati Gaur, MD, MBA, CMD, AGSF
Kalin Clifford, Pharm D
Ghinwa Dumyati, MD
Elaine Healy, MD
Christian Bergman, MD
AMDA Staff:
Erin O. Vigne, RN, MA–Interim Director, Clinical Affairs
