Urinary Tract Infection Bundle

 

Aged Care Infection Definitions

The widely referenced McGeer et al infection surveillance definitions for long term care facilities were first published in 1991. In 2012, an expert consensus panel modified these definitions on the basis of a structured review of the literatureA poster that outlines the revised McGeer et al infections has been developed by the Loddon Mallee Rural Infection Control Centre.

McGeer Defintions 2012

Aged Care Urinary Tract Infection (UTI) Clinical Pathway

The aim of the Aged Care UTI Clinical Pathway is that it is used by medical and nursing staff to:

  • Increase the accuracy of clinical diagnosis of UTIs,
  • To optimise the use of microbiological services,
  • To reduce inappropriate prescribing of antibiotics for residents with asymptomatic bacteriuria, and
  • To optimise antibiotic therapy for residents with UTIs.

**It is recommended that the clinical pathway be printed in colour and on colour (yellow) paper** 

The Aged Care UTI clinical pathway  is supported by educational strategies

The above were developed after revising the Grampians 2013 UTI Project and Victorian Aged Care Healthcare Associated Infection and Antimicrobial Use Point Prevalence Study (2012 and 2013) results, and after extensive consultation with Regional Aged Care Facilities (RACF) clinical staff, the Grampians Medicare Local, Infection Control Consultants and Infectious Diseases Physicians. It was modified mid 2014 after it was trialled for three months in three Grampians RACFs.