Antibiotic Stewardship

UTI Facts

• Bacteriuria is prevalent in 25-50% of female nursing home residents and pyuria is present in 90% of those with bacteriuria (1)
• Bacteriuria is prevalent in 25-50% of female nursing home residents and pyuria is present in 90% of those with bacteriuria (3).
• A randomized trial of antibiotic treatment versus no treatment of bacteriuria in nursing home women showed no decrease in genitourinary morbidity or mortality with treatment (4).
• As many as 75% of prescriptions for UTI in LTCF residents are given to individuals who do not meet criteria for UTI (5).
• Among older women residing in nursing homes, administration of cranberry capsules, compared with placebo, resulted in no significant difference in presence of bacteriuria plus pyuria over 1 year (1)

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Resources

1. Infectious Diseases in Older Adults of Long-term Care Facilities: Update on Approach to Diagnosis and Management – PMC (nih.gov)
2. Effect of Cranberry Capsules on Bacteriuria Plus Pyuria among Older Women in Nursing Homes: A Randomized Clinical Trial – PMC (nih.gov)
3. Tests for Urinary Tract Infection in Nursing Home Residents | Urology | JAMA | JAMA Network
4. Prospective randomized comparison of therapy and no therapy for asymptomatic bacteriuria in institutionalized elderly women – PubMed (nih.gov)
5. Challenges Assessing Nursing Home Residents with Advanced Dementia for Suspected Urinary Tract Infections – PMC (nih.gov)