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Updated: Sep 3, 2025

An In Vitro Bladder Model of Catheter-Associated Urinary Tract Infection
Published on: June 24, 2025
Improving management of urinary tract infections in residential aged care facilities
1MBBS, FRACP, MPH, Infectious Diseases Physician, Victorian Healthcare Associated Infection Surveillance System (VICNISS) Coordinating Centre, Melbourne Health, Melbourne, Vic; Infectious Diseases Physician, The Peter Doherty Institute for Infection and Immunity, Melbourne, Vic; Infectious Diseases Physician, Department of Infectious Diseases, University of Melbourne, The Peter Doherty Institute for Infection and Immunity, Melbourne, Vic; Infectious Diseases Physician, Aged Care Quality and Safety Commission, Melbourne, Vic.
Background:
Antimicrobial resistance rates are higher in Australian residential aged care facilities (RACFs) than other community or hospital settings. This is driven by antibiotic overuse and misuse. Urinary tract infection (UTI) is consistently the most common infection treated with antibiotics in Australian RACFs.
Objective:
The aim of this article is to provide an overview of how general practitioners (GPs) can support appropriate UTI management in RACFs following antimicrobial stewardship (AMS) principles.
Discussion:
GPs are well placed to improve UTI management in RACFs. In this article, criteria for suspected, proven, recurrent and relapsed UTI are outlined, in addition to key AMS practices for the assessment, prevention, treatment and review of UTIs. Included are recommendations for the judicious use of urine dipstick testing, a widespread and longstanding practice in RACFs, and first-line empirical antibiotic prescribing for suspected UTIs.
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