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Related Concept Videos

Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care01:30

Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care

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A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
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Urinary Tract Infection IV: Nursing Management01:17

Urinary Tract Infection IV: Nursing Management

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In managing urinary tract infections (UTIs) in nursing, a comprehensive assessment is essential. Begin by gathering subjective data, such as the patient’s complaints of dysuria (painful urination), urinary frequency, urgency, suprapubic pain, and any lower abdominal discomfort. This information can be complemented by questions regarding previous UTIs, sexual activity, and personal hygiene practices, which can provide insight into risk factors. Objective assessment should focus on signs...
143
Urine Studies II: Urine Culture and Sensitivity Test01:26

Urine Studies II: Urine Culture and Sensitivity Test

257
A urine culture and sensitivity test is a diagnostic procedure used to identify urinary tract bacterial infections and determine the most effective antibiotics for treatment. This test is generally preferred when a patient shows manifestations of a urinary tract infection, such as frequent or painful urination, cloudy or foul-smelling urine, or lower abdominal pain.Purpose of the TestThe primary goals of a urine culture and sensitivity test are to:Determine the specific bacteria causing the...
257
Urinary Tract Infection I: Introduction01:26

Urinary Tract Infection I: Introduction

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Urinary tract infections (UTIs) impact various parts of the urinary system, including the kidneys, ureters, bladder, and urethra. These infections are generally bacterial, with Escherichia coli being the most common causative agent, often originating from the gastrointestinal tract. However, other bacteria, such as Staphylococcus saprophyticus, Klebsiella pneumoniae, and Proteus mirabilis, are also known to cause UTIs. The type, location, and underlying complexity of the UTI guide both...
222
Urinary Tract Infection II: Pathophysiology01:25

Urinary Tract Infection II: Pathophysiology

226
The pathophysiology of urinary tract infections (UTIs) encompasses several progressive stages, beginning with bacterial colonization and culminating in potential systemic complications if untreated. UTIs are primarily initiated by bacteria, such as Escherichia coli, which often originate from the gastrointestinal tract and migrate to the urinary system through the periurethral area. This migration can occur via several routes, including improper hygiene practices, sexual activity, or...
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Acute Pyelonephritis II: Diagnostic Studies and Management01:28

Acute Pyelonephritis II: Diagnostic Studies and Management

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Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
89

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Antibiotic stewardship for urinary tract infection: A program evaluation.

Bethany M Gilbert1, Louise O'Keefe2, Natalie Baker3

  • 1College of Nursing, The University of Alabama in Huntsville, 301 Sparkman Drive, Huntsville, AL 35899, United States.

Geriatric Nursing (New York, N.Y.)
|July 9, 2021
PubMed
Summary

Antibiotic stewardship programs (ASP) show promise in long-term care facilities for improving antibiotic prescribing for urinary tract infections (UTI). Sustained leadership commitment is key for program success and potential patient outcome benefits.

Keywords:
Antibiotic resistanceAntibiotic stewardshipLong-term careUrinary tract infection

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Area of Science:

  • Infectious Diseases
  • Healthcare Management
  • Geriatric Medicine

Background:

  • Growing evidence supports antibiotic stewardship programs (ASP) for improved patient outcomes, reduced resistance, and cost savings in various healthcare settings.
  • Limited studies have evaluated ASP effectiveness specifically within long-term care facilities (LTCFs).
  • Urinary tract infections (UTIs) are common in LTCFs, often leading to antibiotic overuse.

Purpose of the Study:

  • To evaluate the effectiveness of an antibiotic stewardship program (ASP) for managing urinary tract infections (UTIs) in a long-term care facility.
  • To identify areas for improvement in UTI diagnosis and antibiotic prescribing within the LTCF setting.
  • To assess the perceived benefits and challenges of implementing an ASP in an LTCF.

Main Methods:

  • Program evaluation of an existing ASP within a long-term care facility.
  • Analysis of UTI diagnosis and antibiotic prescribing patterns before and after ASP implementation.
  • Qualitative assessment of facility leadership and healthcare provider commitment.

Main Results:

  • Improvements were noted in the appropriate diagnosis and antibiotic prescribing for UTIs.
  • No definitive conclusions could be drawn regarding the direct impact of the ASP on patient outcomes.
  • The ASP was perceived as beneficial, highlighting the need for sustained leadership and provider engagement.

Conclusions:

  • Antibiotic stewardship programs can be beneficial in long-term care settings for optimizing UTI management.
  • Sustained commitment from facility leadership and healthcare providers is crucial for ASP success.
  • Nurse practitioners can play a vital role in educating and implementing systematic antibiotic stewardship programs.