Exploring the Treatment of Noncatheterized Urinary Tract Infections in Nursing Home Patients

Antibiotic overuse is an ongoing problem, causing widespread antibiotic resistance. This research conducted a retrospective chart review in two nursing homes during a 9-month period to determine appropriate antibiotic use with 105 residents treated for UTIs. Only 31 (29.6%) received appropriate treatment based on the McGeer criteria. Furthermore, 48 (45.7%) residents did not show symptoms and 46 (43.8%) lacked microbiologic evidence in their urine reports. Despite the introduction of antibiotic stewardship in the nursing homes, providers were treating presumed UTIs with antibiotics. This study found a substantial disparity between the antibiotic stewardship program and providers’ diagnoses of UTI.sensitivity to aging, it was determined that the participants were moderately sensitive.

Keywords: Antibiotics; Asymptomatic Bacteriuria; Geriatrics; Infections; Inappropriate Treatment; Mcgeer Criteria; Nursing Homes; UTI