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Suspected UTI in Nursing Home Patients: When to Test.

Publication: Consultant
Publication Date: 01-DEC-06 		Format: Online
Delivery: Immediate Online Access
Full Article Title: Suspected UTI in Nursing Home Patients: When to Test.(urinary tract infection)

Article Excerpt
Byline: MANISHA JUTHANI-MEHTA, MD

Q: Is it appropriate to routinely order urinalysis for patients in a nursing home (both with and without dementia) when they exhibit behavioral changes but show no signs or symptoms of urinary tract infection (UTI)?

A: Practitioners who work in nursing homes frequently face this dilemma. Currently, 2 sets of diagnostic, treatment, and surveillance criteria for UTIs in nursing home residents are available to provide guidance with such decisions.

McGeer criteria. Published in 1991, these criteria were developed by infectious disease experts for purposes of surveillance and outcome assessment in nursing homes.1 According to these criteria, to make an empiric diagnosis of UTI...

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