Wisconsin Long-Term Care
Urinary Tract Infection Toolkit

Module 1: Overview and Rationale

This module is organized into three sections. Each section includes a slide deck presentation.

Section 1: Overview -+


Section 2: Clinical Rationale -+

Staff & Provider Infographic

Section 3: Regulatory Rationale -+


Resident and Family Education Tools & Resources -+

Antibiotic Stewardship in Nursing Homes: How You Can Prevent Antibiotic Resistance Nursing home staff, residents, and families can reduce antibiotic resistance by prescribing or using antibiotics only when they are needed. The video provides information on when antibiotics are needed and not needed, and how inappropriate antibiotic use can harm patients.

Family Education Brochure This single-sided brochure can be used to educate residents and family members/representatives about the facility's approach to managing suspected UTIs. The brochure highlights the importance of correct antibiotic use, describes steps taken by staff when a resident shows signs of a possible UTI and offers an explanation of active monitoring.

Family Education Letter This template may be customized with the facility logo and included in a resident welcome folder to provide background information on the facility's approach to managing suspected UTIs.

Family Education Video This video targets residents and family members/representatives education. Through a role-play telephone conversation between a family member and provider, it demonstrates an example of communication about a resident's change in condition, related to a suspected UTI.

References List -+

  1. Zimmer et al. A Practical Guide to Prescribing in Nursing Homes. J Am Geriatr Soc 1986;34(10):703-10. doi: 10.1111/j.1532-5415.1986.tb04301.x
  2. Katz et al. Antibiotic Use in the Nursing Home Physician Practice Patterns. Arch Intern Med 1990;150(7):1465-8. doi: 10.1001/archinte.1990.00390190111017
  3. Warren et al. Incidence and characteristics of antibiotic use in aged nursing home patients. J Am Geriatr Soc 1991;39(10):963-72. doi: 10.1111/j.1532-5415.1991.tb04042.x
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  6. Vergidis P, Hamer DH, Meydani SN, Dallal GE, Barlam TF. Patterns of antimicrobial use for respiratory tract infections in older residents of long-term care facilities. J Am Geriatr Soc. 2011;59(6):1093–8. doi: 10.1111/j.1532-5415.2011.03406.x
  7. Crnich CJ et al. Factors influencing the measurement of antibiotic utilization in nursing homes. Poster presentation at the Society for Healthcare Epidemiology of America Spring Conference, April 2019, Boston, MA.
  8. Crnich CJ. Unpublished data. Used with permission.
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  11. Field et al. Risk Factors for Adverse Drug Events Among Nursing Home Residents. Arch Intern Med 2001;161(13):1629-34. doi: 10.1001/archinte.161.13.1629
  12. Gurwitz JH, Field TS, Judge J, et al. The incidence of adverse drug events in two large academic long-term care facilitiesAm J Med 2005; 118(3): 251-8. doi: 10.1016/j.amjmed.2004.09.018
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  18. Cosgrove et al. Health and Economic Outcomes of the Emergence of Third-Generation Cephalosporin Resistance in Enterobacter Species. Arch Intern Med 2002;162(2):185-90. doi: 10.1001/archinte.162.2.185
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