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

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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