Module 9 Part Urinary Tract Infections Nursing Home Long Term Care Flashcards
Is antibiotic treatment recommended for asymptomatic bacteriuria in nursing home residents?
No, antibiotic treatment is not indicated for asymptomatic bacteriuria.
What is the general duration of therapy for symptomatic UTIs in nursing home residents?
Generally, 7 days of treatment are required for symptomatic UTIs.
What is the alternative duration of therapy for women with lower tract symptoms in symptomatic UTIs?
Women with lower tract symptoms can be treated with 3 days of ciprofloxacin, which is as effective as 7 days.
When should antibiotics be initiated for UTIs in residents without catheters, based on specific criteria?
Antibiotics should be initiated for acute dysuria alone OR fever with certain symptoms.
What are the criteria for suspected UTIs in patients with indwelling catheters?
Presence of fever, new costovertebral tenderness, rigors, or new onset of delirium.
When should nitrofurantoin be relatively contraindicated?
Nitrofurantoin should be relatively contraindicated when CrCl is < 30-60 mL/min.
When can amoxicillin be used for UTI treatment, and for how long?
Amoxicillin can be used for susceptible strains and should be taken for 7 days.
