PPT-Beyond the Urine Culture:

Other Areas for Antibiotic Stewardship in Long Term Care Facilities Lisa Avery PharmD BCPS AQID Associate Professor Wegmans School of Pharmacy St John Fisher College Learning Objectives. Fever. Erin Augustine, MD. Alan Schroeder, MD. Previously healthy 3 week infant presents with fever to 100.5˚F. Well-appearing and no source of infection on exam. Parents appropriate and able to follow up with pediatrician when recommended. Next step? . Reşat. . Özaras. , MD, Prof.. Infection Dept. . Urinary Tract Infections. Leading cause of morbidity and health care expenditures in persons of all ages.. An estimated . 50 % of women . report having had a UTI at some point in their lives.. National Content Series for All Staff. Current as of October 2015. Upon completion of this training, participants will be able to. :. Explain why unnecessary urine cultures can lead to increases in CAUTI reporting and resident harms. 1. Mohamad Fakih, MD, MPH. Medical Director, Infection Prevention and Control. St John Hospital and Medical Center . Professor of Medicine, . Wayne State University School of Medicine. Detroit, MI. Pat Posa, RN, BSN, MSA, FAAN. April 21, 2016. Charles Krasner, M.D.. University of NV, Reno School of Medicine. Sierra NV Veterans Affairs Med Center. Quiz. Quiz. Quiz. Quiz. Quiz. Quiz. Quiz. Quiz. Quiz. Quiz. 9 million doctor visits/year!. Update on Urinary. Tract Infections. Charles Krasner, M.D,. UNR School of Medicine. Dec 17,2015 . 9 million doctor visits/year!. Customary urine test is the dip stick and the mid-stream culture of voided urine. Up to 77% of cystitis cases are cultured. The Importance of Knowing When To Order Urine Cultures. AHRQ Pub. No. . 16(17)-. 0003-16-EF. March 2017. Upon completion of this training, participants will be able . to—. Explain why unnecessary urine cultures can lead to increases in catheter-associated urinary tract infection (CAUTI) reporting and resident harms. Adam Sangster and Aidan Wilson. Introduction to Urine Dipsticks . Among the elderly there are harmless bacteria in the urine at rates of 15-30% among men and 25-50% among women. This is . asymptomatic bacteriuria (ASB). Fever. Erin Augustine, MD. Alan Schroeder, MD. Previously healthy 3 week infant presents with fever to 100.5˚F. Well-appearing and no source of infection on exam. Parents appropriate and able to follow up with pediatrician when recommended. Next step? . DR.KAUSHAMBI BASU. DCH,MD(PEDIATRICS). TUTOR,PEDIATRIC MEDICINE. CNMCH. POINTS OF DISCUSSION. INTRODUCTION . CLINICAL FEATURES. DIAGNOSIS. TREATMENT. IMAGING AFTER FEBRILE UTI. VUR . RECURRENT UTI. ANTIBIOTIC PROPHYLAXIS. AHRQ Safety Program for Intensive. Care Units: Preventing CLABSI and CAUTI. AHRQ Pub. No. 17(22)-0019. April 2022. Case Study: To Culture or Not To Culture…. Ms. Allen, a 65-year-old woman, has atrial fibrillation on warfarin, and multiple sclerosis complicated by urine retention with a chronic indwelling urinary catheter. She was admitted to telemetry 4 days ago due to elevated INR and to adjust her cardiac meds for better HR control. Ms. Allen was well until 3 hours ago when she had an upper GI bleed, while her INR is 5.3. . DO NOT . . perform blood cultures for “surveillance” in the absence of signs and symptoms of sepsis. BOTTLE PREPARATION. : . Disinfect . the rubber stopper of each bottle with 70% . alcohol. Do . ultrafiltration. of plasma by the renal . glomeruli. .. Collection of Urine. Early morning sample-qualitative . Random sample- routine. Midstream sample-UTI. Post . prandial. sample-D.M. 24hrs sample-preservatives like . When To Test?. . . UTI Toolkit – Module 3. Narration by:. Anna . Eslinger. , RN. Infection . Preventionist. Marshfield Medical Center - Eau Claire. Content developed in partnership with the Wisconsin.