7
Treatment
STEP 6: Recognize When To Initiate Empiric Antibiotics
Should asymptomatic bacteriuria be treated?
➤ Screening for and treatment of asymptomatic bacteriuria is not
recommended for older adults residing in PALTC facilities except
before undergoing transurethral resection of the prostate or other
urologic procedures associated with mucosal trauma.
How should residents with suspected UTI be managed if clinical
criteria are not met?
➤ For residents that do not meet clinical criteria for UTI (and do not
have warning signs), but for whom clinical concern for UTI still exists,
"active monitoring" is recommended. [See Active Monitoring Protocol
under Monitoring]
How should residents with suspected UTI be managed if clinical
criteria are met?
➤ For residents that meet clinical criteria for a UTI, clinicians should
send a urine specimen for urinalysis and culture and then initiate
empiric antibiotics. [See Table 1]
