Minimum criteria for the initiation of antibiotics for urinary tract infection in long-term care residents

With indwelling catheter

At least one of the following:

Fever (>37.9°C [100°F] or 1.5°C [2.4°F] above baseline)

New CVA tenderness

Rigors

New onset delirium

Without indwelling catheter:

Acute dysuria OR

Fever (>37.9°C [100°F] or 1.5°C [2.4°F] above baseline) AND

At least one of the following:

New or worsening urgency

Frequency

Suprapubic pain

Gross hematuria

CVA tenderness

Urinary incontinence

CVA: costovertebral angle.

Source: Loeb M, Bentley DW, Bradley S, et al. Development of minimum criteria for the initiation of antibiotics in residents of long-term-care facilities: results of a consensus conference. Infect Control Hosp Epidemiol 2001; 22:120.

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Minimum criteria for the initiation of antibiotics for urinary tract infection in long-term care residents