The accreditors of this session require that you periodically check in to verify that you are still attentive.
Please click the button below to indicate that you are.
Exploring the Treatment of Noncatheterized Urinary Tract Infections in Nursing Home Patients
Background: The aim of this research was to determine if nursing home residents are receiving appropriate treatment for urinary tract infections. The aim of this study is to encourage providers to change their prescribing habits for asymptomatic bacteriuria in geriatric patients.
Methods: A retrospective chart review was conducted in two nursing homes in central California during a 9-month period. If the antibiotic was ordered for presumed UTI, that patient became part of the study to investigate further the appropriateness of antibiotic use based on the McGeer criteria.
Results: 105 residents were treated for UTIs over nine months in both nursing homes. Only 31 (29.6%) received appropriate treatment based on the McGeer criteria. Furthermore, 48 (45.7%) residents did not show symptoms and 46 (43.8%) residents had lack of microbiologic evidence in the urine report.
Conclusion: Despite the introduction of antibiotic stewardship in nursing homes, providers are treating asymptomatic UTIs with antibiotics. This study found a substantial disparity between the antibiotic stewardship program and providers’ diagnosis of UTI.
Learning Objective
After completing this learning activity, the participant will be able to assess innovations being used by other professionals in the specialty and evaluate the potential of implementing the improvements into practice.
Purpose: The purpose of this project is to promote patient-centered-care (PCC) on an acute care of the elderly (ACE) unit through use of a “get to know me” poster to increase patient satisfaction and nursing perception of providing PCC…
Problem: A large percentage of vulnerable older adult (OA) Chicago residents experience risk factors for food insecurity (FI)1. A Chicago community hospital’s program refers OAs who screen positive for FI for assistance in accessing nutritional resources…
The COVID-19 pandemic highlighted long-standing gaps in the ability of nursing homes (NHs) to engage in quality improvement (QI) as evidenced by The National Academies of Sciences, Engineering and Medicine (NASEM) report "The National Imperative to Improve Nursing Home Quality" (2022)…
Privacy Policy Update: We value your privacy and want you to understand how your information is being used. To make sure you have current and accurate information about this sites privacy practices please visit the privacy center by clicking here.